8.4
SIALOLITHIASIS (STONES)
Calculi
sometimes form within the ducts of salivary glands
and
this occurs because of poor drainage and
change of pH.
The symptoms are those of obstruction
and distension of the gland
following the
taking of food. The gland
may enlarge and
may
become palpable.
The
stone may be felt in the cheek in the parotid duct and
the
floor of the mouth in the case of
Submandibular duct symptoms are
of pain and swelling.
Treatment is
by removal of the stone .
SIALOADENITIS
This occurs
most often with invasion by bacteria.
Acute
parotitis occurs, with the symptoms of pain, swelling and
fever progress is rapidly in these cases .
Obstruction of the duct plays a causative role dehydration
and
malnutrition also contribute.
Treatment is
removal of causitive
factors and antibiotics.
Drainage of abscess may be required.
Recurrent sialoadenitis also occur with
repeated episodes of pain
and swelling with fever and its
complication of orchitis has been
discussed elsewhere.
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