Sialolithiasis and Sialadenitis

Question 1

Sialolithiasis (salivary gland stones)

Answer 1

• Present with intermittent pain and swelling associated with meals
• May develop infection
• Management:
  
  • Non-operative
    
    • Hydration
    • Sialogogues
    • Analgesia
    • Antibiotics
    • Sialendoscopy if required
  • Operative
    
    • Incision over duct to remove stone
    • Gland removal

Question 2

Sialadenitis (infection and inflammation of the salivary glands)

Answer 2

• Swelling of gland +/- pain +/- systemic upset
• Can be viral or bacterial
• Management usually supportive with rehydration, sialogogues and antibiotics