Mouth: Sialadenitis [Parotitis]

Question 1

What is the Etiology?

Answer 1

inflammation of one or both parotid glands

Question 2

What is the Pathophysiology?

Answer 2

viral or bacterial

Question 3

What are the risk factors of Sialadentitis?

Answer 3

mumps (although now rare due to MMR vaccine), bacterial from blockage of the gland with stone or poor hygiene, dehydration

Question 4

Patient presents with abnormal tastes, cannot open his mouth very wide, and has a dry mouth. He is tender to palpation, has a fever, and slight facial swelling. What do you think?

Answer 4

Sialadentitis

Question 5

How do you diagnose Sialadentitis?

Answer 5

pus drainage into mouth, CT scan or ultrasound if suspected abscess, Stetson’s duct may be red and irritated

Question 6

How do you treat it?

Answer 6

radiology if suspected abscess; antibiotics if pus or fever, aspiration of abscess, stopping smoking, good oral hygiene, warm salt water rinses, sugar free suckers to stimulate saliva production, massage salivary glands

i. Tylenol for symptomatic therapy
ii. If spreads → IV antibiotics
iii. Clindamycin to cover more of gram (-) bugs that can develop

Question 7

What are some of the possible complications from Sialadentitis

Answer 7

abscess, recurrent infection, spread of infection (cellulitis)