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Sialadenitis (sialoadenitis) is inflammation of salivary glands, usually the major ones, the most common being the parotid gland, followed by submandibular and sublingual glands. [1] It should not be confused with sialadenosis (sialosis) which is a non-inflammatory enlargement of the major salivary glands.
The submandibular gland is medial to the angle of the mandible, and it drains its mixture of serous and mucous saliva via the submandibular duct (Wharton duct) into the mouth, usually opening in a punctum in the floor of mouth. The sublingual gland is below the tongue, on the floor of the mouth; it drains its mostly mucous saliva into the mouth ...
Salivary glands, such as the submandibular gland or parotid gland, can become blocked by salivary stones. Dr. Lee says this can block the natural flow of saliva, causing facial swelling and pressure.
Swelling of the submandibular gland as seen from the outside The stone seen in the submandibular duct on the person's right side. Signs and symptoms are variable and depend largely upon whether the obstruction of the duct is complete or partial, and how much resultant pressure is created within the gland. [1]
Other causes such as oral ulcerations, infections secondary to oral malignancy, mandible fractures, sialolithiasis-related submandibular gland infections, [10] and penetrating injuries of the mouth floor [15] have also been documented as potential causes of Ludwig's angina.
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.
Parotitis presents as swelling at the angle of the jaw. Bacterial parotitis presents as a unilateral swelling, where the gland is swollen and tender and usually produces pus at the Stensen's duct. This pus is usually sampled and the bacteria within are identified. Common causative bacteria are Staphylococcus aureus, Streptococcus pyogenes and E ...
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 ...