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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.
Less commonly the parotid gland or rarely the sublingual gland or a minor salivary gland may develop salivary stones. The usual symptoms are pain and swelling of the affected salivary gland, both of which get worse when salivary flow is stimulated, e.g. with the sight, thought, smell or taste of food, or with hunger or chewing.
Swelling in the submandibular area in a person with Ludwig's angina. Specialty: Otorhinolaryngology, oral and maxillofacial surgery Symptoms: Fever, pain, a raised tongue, trouble swallowing, neck swelling [1] Complications: Airway compromise [1] Usual onset: Rapid [1] Risk factors: Dental infection [1] Diagnostic method: Based on symptoms and ...
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.
Infections involving the salivary glands can be viral or bacterial (or rarely fungal). Mumps is the most common viral sialadenitis. It usually occurs in children and involves pain in front of the ear, swelling of the parotid, fever, chills, and headaches. [2] Bacterial sialadenitis is usually caused by ascending organisms from the mouth.
A sialolithiasis is a salivary stone that may cause blockage of the ducts, most commonly the submandibular ducts, causing pain and swelling of the gland. [33] Salivary gland dysfunction is either a reduced (hyposalivation), or an increased (hypersalivation) production of saliva.
Pain is more common in patients with parotid cancer (10–29% feel pain) than those with benign neoplasms (only 2.5–4%), [23] but pain itself it not diagnostic of malignancy. Episodic swelling of major salivary glands accompanied by pain and related to salivary stimuli suggests duct obstruction.
Rarely, drugs such as iodides, phenylbutazone, thiouracil, isoproterenol, heavy metals, sulfisoxazole, and phenothiazines cause parotid swelling. [citation needed] Associated with Bulimia: Parotid gland swelling is a common feature of self-induced vomiting. This swelling usually develops 3–4 days after the stopping of chronic excessive self ...