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Sialolithiasis (also termed salivary calculi, [1] or salivary stones) [1] is a crystallopathy where a calcified mass or sialolith forms within a salivary gland, usually in the duct of the submandibular gland (also termed "Wharton's duct"). Less commonly the parotid gland or rarely the sublingual gland or a minor salivary gland may develop ...
Thus, sialoendoscopy is an efficient yet simple mode of treatment for major salivary gland obstructions, strictures and sialoliths (salivary stones). Depending on the obstruction, sialoendoscopy can be conducted under local anesthesia in an outpatient office or in the operating room under general anesthesia .
Strictures are the second most common cause of chronic obstructive sialadenitis, after salivary stones. [1] In line with this, strictures may give rise to the "meal time syndrome", [1] where there is pain and swelling of the involved salivary gland upon salivary stimulation with the sight, smell and taste of food.
Sialodochitis (also termed ductal sialadenitis), [1] is inflammation of the duct system of a salivary gland. [2] This is compared to sialadenitis, which is inflammation of the gland parenchyma. [3] Sialodochitis may be associated with salivary duct strictures and salivary stones. [4] It is common in both the parotid glands and submandibular ...
Blockage, whether caused by salivary duct stones or external compression, may cause pain and swelling of the parotid gland . Koplik's spots which are pathognomonic of measles are found near the opening of the parotid duct. The parotid duct may be cannulated by inserting a tube through the internal orifice in the mouth. [2]
Salivary gland dysfunction affects the flow, amount, or quality of saliva produced. A reduced salivation is termed hyposalivation . Hyposalivation often results in a dry mouth condition called xerostomia , and this can cause tooth decay due to the loss of the protective properties of saliva.
The most common salivary gland infection is mumps. It is characterised by bilateral swelling of the parotid glands; however, other major salivary glands may also be affected in around 10% of cases. The swelling persists for about a week, along with low-grade fever and general malaise.
Fast neutron therapy has been used successfully to treat salivary gland tumours, [13] and has shown to be significantly more effective than photons in studies treating unresectable salivary gland tumours. [14] [15] Chemotherapy Currently little is known about the efficacy of chemotherapy in treating salivary gland tumours. Chemotherapy, which ...