Symptoma

Parotid Duct Obstruction

The process that led to the proper diagnosis is presented and the importance of surgical exploration of the main duct in cases suggesting distal duct obstruction is stressed. [cambridge.org]

[…] dental practitioners and for trainees and practitioners in oral medicine, surgery and pathology in particular.An accessible account of the basics of oral and maxillofacial medicine from one of the best-selling dental authors world-wideExplores common presenting [books.google.com]

Four cases of salivary duct obstruction without stones were presented. 2. A method of treatment was outlined that proved effective in eliminating the distress in three of the patients. [link.springer.com]

Inflammatory and infectious swellings Inflammatory and infectious swellings present acutely and are often painful enlargements of the salivary glands. [clinicaladvisor.com]

  • Dentist

    Your doctor or dentist may suggest sucking on sugar-free lemon drops and drinking a lot of water. The goal is to increase saliva production and force the stone out of your duct. [healthline.com]

    To diagnose other causes of swelling, a dentist or doctor may perform a biopsy to obtain a sample of salivary gland tissue and examine it under a microscope. [merckmanuals.com]

    […] require the treatment prescribed by your physician or dentist. [healthool.com]

    What You Can Do If you feel irritation or even just slight swelling near the site of your saliva glands – particularly when eating – it's a good idea to schedule an appointment with your doctor or dentist. [colgate.com]

    Bacterial infections are most often the result of a: Blockage from salivary duct stones Poor cleanliness in the mouth ( oral hygiene ) Low amounts of water in the body, most often while in the hospital Smoking Chronic illness Your health care provider or dentist [medlineplus.gov]

  • Lymphadenopathy

    […] and practitioners in oral medicine, surgery and pathology in particular.An accessible account of the basics of oral and maxillofacial medicine from one of the best-selling dental authors world-wideExplores common presenting complaints such as cervical lymphadenopathy [books.google.com]

    Malignancy No lymphadenopathy Chronic inflammation or benign neoplasm Tender lymphadenopathy Infection Table 2. [aafp.org]

    Ultrasound is now the first-line investigation and excludes other causes of swelling such as malignancy or lymphadenopathy. [patient.info]

    cancer metastasis to glands Facial nerve involvement would increase malignant potential Palpation Warm skin: sialadenitis Tender: inflammatory condition is tender Salivary gland massage: purulent saliva: inflammatory, sialadenitis Decreased saliva Lymphadenopathy [medicine.uiowa.edu]

  • Candidiasis

    Xerostomia with concomitant increase in dental caries, changing taste, infection, facial nerve involvement, stomatitis, and candidiasis. [medicine.uiowa.edu]

    […] palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus Oral mucosa – Lining of mouth Amalgam tattoo Angina bullosa haemorrhagica Behçet's disease Bohn's nodules Burning mouth syndrome Candidiasis [en.wikipedia.org]

  • Cervical Lymphadenopathy

    lymphadenopathy, lumps and swellings, soreness and ulcerationHighlights the conditions which are most important - whether because of frequency, or potential seriousness e.g. aphthae, denture-induced stomatitis, temporomandibular joint pain-dysfunction [books.google.com]

    lymphadenopathy Known risk factors Treatment with fine needle aspiration: amylase in cyst fluid confirms diagnosis Actinomycosis May be acute or chronic, usually with history of dental trauma Anaerobic culture for diagnosis Treat with long-term penicillin [medicine.uiowa.edu]

    Differentiating a swollen parotid gland and cervical lymphadenopathy may be very difficult clinically. Usually it is possible to feel in front of lymph nodes but it is impossible to get in front of the parotid. [patient.info]

  • Parotid Swelling

    Acute suppurative parotitis presents with painful parotid swelling, fever, redness and purulent discharge from Stensen's duct. Parotitis is attributable to a retrograde infection of the gland, usually bacterial in nature. [clinicaladvisor.com]

    Sialosis: 35 cases of persistent parotid swelling from two countries. [medicine.uiowa.edu]

    Complications The risk of malignant non-Hodgkin's lymphoma is increased in primary Sjögren's syndrome. [ 11 ] It may be problematic to diagnose this in the context of persistent parotid swelling. [patient.info]

    Rarely, drugs such as iodides, phenylbutazone, thiouracil, isoproterenol, heavy metals, sulfisoxazole, and phenothiazines cause parotid swelling. [emedicine.medscape.com]

    Bilateral parotid swelling: A review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:221-37. [ PUBMED ] 8. Akcaboy EY, Akcaboy ZN, Alkan H, Gogus N. "Anesthesia mumps" after electroconvulsive therapy anesthesia. J ECT 2011;27:e21-2. 9. [saudija.org]

  • Parotid Mass

    References: pleomorphic-adenoma-parotid Left parotid mass of few months duration on FNAC proved to be pleomorphic adenoma. [ultrasound-images.com]

    Rofo 160: 397–405 PubMed Google Scholar [10] Szolar DH, Groell R, Braun H et al. (1996) Ultrafast computed tomography and three-dimensional image processing of CT sialography in patients with parotid masses poorly defined by magnetic resonance imaging [springerlink.com]

    Neoplasms BENIGN Benign neoplasms of the salivary glands typically present as painless, asymptomatic, slow-growing neck or parotid masses ( Figure 6 ). [aafp.org]

  • Facial Pain

    pain Inflammation over the side of your face and upper neck Difficulty in swallowing Swelling below your jaw and on the floor of your mouth Throat pain Running a low to high degree fever Muscles that are sore Losing your appetite Nausea Dry eyes If the [healthool.com]

    Mouth or facial pain, especially associated with eating. Decreased mouth opening, difficulty talking. Fever/systemically unwell. [patient.info]

Workup should focus on identifying a predisposing factor, such as a calculus or stricture. If no cause is found, treatment is conservative and should consist of sialagogues, massage, hydration, and anti-inflammatory medications. [aafp.org]

Sialography was commonly used in the workup of parotid disease in the past, and this group demonstrates punctate sialectasis, which implies point like dilatations within the gland. Six-year-old girl with recurrent parotitis of childhood. [emedicine.medscape.com]

  • Candida

    Suppurative Parotitis Due to Candida glabrata. Infectious Diseases in Clinical Practice, Vol. 18, Issue. 3, p. 162. [cambridge.org]

    Bartonella henselae in patients with cat exposure (rare) Fungal Candida has been isolated in chronically ill or hospitalized patients. [unboundmedicine.com]

The condition often goes away on its own with little treatment. You may need additional treatment, such as surgery, to get rid of the stone. [saintlukeshealthsystem.org]

A suggestion for treatment Summary 1. Four cases of salivary duct obstruction without stones were presented. 2. A method of treatment was outlined that proved effective in eliminating the distress in three of the patients. [link.springer.com]

Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. [drugs.com]

Treatment of salivary gland diseases Treatment of salivary gland diseases falls into two categories: medical and surgical Selection of treatment depends on the nature of the problem Medical treatment When salivary gland problems are due to systemic diseases [ent-surgery.com.au]

Treatment of sialocele and experimental study in dogs. Trans Am Acad Ophthalmol Otolaryngol 1975; 80: 375-77. 5. Epker B, Burnette J. Trauma to parotid gland and duct: Primary treatment and management of complications. [ispub.com]

Treatment and prognosis In many instances, conservative medical management suffices. Hydration, moist heat are helpful and NSAIDS may be beneficial. [radiopaedia.org]

Outlook Prognosis depends on the stage at which the cancer is diagnosed. Stage 1 salivary gland cancers have a 5-year life expectancy of 91 percent relative to normal for a person's age group. [medicalnewstoday.com]

[…] parotid gland; may undergo malignant transformation, so excision is advised Warthin tumor 6 to 10 More common in older men; associated with smoking; may be multifocal or bilateral Malignant Mucoepidermoid carcinoma 4 to 13 Usually low-grade; excellent prognosis [aafp.org]

Its etiology is considered to be multifactorial, and its exact pathogenesis is not fully understood. [journals.plos.org]

Algorithm for determining the etiology of salivary gland swelling. Information from reference 3. Evaluation of Patients with Suspected Salivary Gland Disorders Figure 1. Algorithm for determining the etiology of salivary gland swelling. [aafp.org]

Sialoliths and granulomatous diseases are inflammatory conditions that cause enlargement and pain but do not have an infectious etiology. [clinicaladvisor.com]

The theories of etiology are diverse. Many authors are convinced that sialoliths or scarring of the ducts cause stasis of salivary flow and predispose the gland to infection is the etiology, but this is probably true for only a minority of cases. [emedicine.medscape.com]

Red hemorrhagic spots on the skin over the swollen area frequently associates the clinical picture. [3], [9] The position of the head during a prolonged surgical prodecure may also play a role in etiology. [saudija.org]

Epidemiology Viral parotitis is the most common cause of parotitis in children; exact incidence is unknown and has decreased since the advent of the mumps vaccine. [unboundmedicine.com]

Epidemiology [ edit ] The prevalence of salivary stones in the general population is about 1.2% according to post mortem studies, but the prevalence of salivary stones which cause symptoms is about 0.45% in the general population. [2] Sialolithiasis accounts [en.wikipedia.org]

Sialolithiasis – pathophysiology, epidemiology and aetiology. In Nahlieli O (ed) Modern management of preserving the salivary glands. pp 91–142. Israel: Isradon Publishing House, 2007. 43. Anneroth G, Eneroth C M, Isacsson G, Lundquist P G. [nature.com]

Etiology and Pathophysiology Acute viral parotitis begins as a systemic infection that localizes to the parotid gland, resulting in inflammation and swelling of the gland. [unboundmedicine.com]

This might suggest a pathophysiological reason as to why the presence of an APG correlates to the pathogenesis of parotitis. Abnormal morphology of the salivary duct can interfere with the flow of saliva. [journals.plos.org]

Because the pathophysiology is poorly understood, the rationale of several surgical treatments is rather weak. Parotidectomy removes the diseased gland but begs the question of specific treatment. [emedicine.medscape.com]

Sialolithiasis – pathophysiology, epidemiology and aetiology. In Nahlieli O (ed) Modern management of preserving the salivary glands. pp 91–142. Israel: Isradon Publishing House, 2007. 43. Anneroth G, Eneroth C M, Isacsson G, Lundquist P G. [nature.com]

How can I help prevent a PDO? Drink liquids as directed. Ask your healthcare provider how much liquid to drink each day and which liquids are best for you. Brush and floss your teeth. Good dental hygiene may prevent obstruction and infection. [drugs.com]

Prevention of salivary gland stones Those people who have had salivary gland stones are more likely to produce them again. Currently there are no evidence-based methods of prevention. [totalhealth.co.uk]

These products can be obtained here. hydration to increase the amount of saliva, preventing stasis and build-up of stones in the duct system, 6-10 glasses of water daily massage of the gland to manually move stones through the system, preventing large [augustaent.com]

Prevention To prevent acute suppurative parotitis, consider risk factors, avoid anticholinergics and other drugs likely to disrupt saliva flow in the vulnerable and maintain good hydration and mouth care perioperatively and amongst critically ill patients [patient.info]

This is designed to hold the stent in place for the recommended 2-3 weeks while the injured duct heals and to help prevent stenosis at the repair site. It may also prevent postoperative edema in the region from collapsing the fragile duct. [emedicine.medscape.com]