Submandibular Gland Disease Flashcards
What conditions can affect the submandibular gland?
Sialolithiasis
Sialadenitis
Submandibular tumours
What is sialolithiasis?
Salivary gland stones
What is the common composition of salivary gland stones?
Calcium phosphate
Calcium carbonate
What are the clinical features of sialolithiasis?
Colicky pain
Swelling of the gland after eating
What investigations are done for sialolithiasis?
Sialography
Plain x-ray
How is sialolithiasis managed?
Refer to ENT
Some pass spontaneously
Gland excision
What is sialadenitis?
Inflammation of a salivary gland
What are risk factors for sialadenitis?
Malnutrition Immunosuppression Sjogren's syndrome Connective tissue diseases Sialolithiasis
What are the clinical features of sialadenitis?
Fever
Pain
Swelling - usually unilateral
Dysphagia
How is suspected sialadenitis investigated?
Culture of exudates from duct
FBC
Plain x-ray
What is the most common organism in sialadenitis?
Staph aureus
How is sialadenitis managed?
IV/oral abx
