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Parotid Duct Obstruction


Presentation

  • 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]
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]
Severe Pain
  • You have severe pain. You cannot move part of your face. Care Agreement You have the right to help plan your care. Learn about your health condition and how it may be treated.[drugs.com]
  • The swelling can become quite enormous reaching the size of an orange with overlying skin redness and severe pain. The swelling also can fluctuate.[fauquierent.net]
  • Obstructive salivary gland disorders can progress to infection, high fevers, severe pain, and increased swelling. Many patients are embarrassed to discuss this condition with their physician.[dentistryiq.com]
  • Infection can develop leading to more severe pain and swelling in the glands. If untreated for a long time, the glands may become abscessed.[comprehensiveent.com]
  • If not treated, salivary gland infections can cause severe pain, high fevers, and abscess (pus collection). Infections. Viral infections such as mumps, flu, and others can cause swelling of the salivary glands.[webmd.com]
Chronic Infection
  • Sialolithiasis Stone in Wharton's Duct Most common disease of salivary glands Twice as common in males as females 80-95% occur in submandibular gland or duct Stones are most common cause of acute and chronic infection of salivary glands 80% of submandibular[learningradiology.com]
  • Most patients who require this operation will have the following conditions: growth or tumour, chronic infection (known as sialdenitis), or obstruction of the saliva flow due to stones.[theentcentre.com]
  • Sialolithiasis may also develop because of the presence of existing chronic infection of the glands, dehydration (e.g. use of phenothiazines ), Sjögren's syndrome and/or increased local levels of calcium, but in many instances the cause is idiopathic[en.wikipedia.org]
  • Late complications of ligating the duct include chronic infections of the remaining glandular substance. Sialadenitis may result from manipulation of the intraoral papilla or from sialography and may require drainage and antibiotics.[emedicine.medscape.com]
High Fever
  • Call your provider right away if you have signs of infection, such as high fever or pain in your neck. Key points about parotid duct obstruction Parotid duct obstruction is when part of your parotid duct becomes blocked.[saintlukeshealthsystem.org]
  • Get medical help right away if you have a high fever, trouble breathing, or swallowing problems. In many cases, salivary gland infections can't be prevented. Good oral hygiene may prevent some cases of bacterial infection. Elluru RG.[medlineplus.gov]
  • Obstructive salivary gland disorders can progress to infection, high fevers, severe pain, and increased swelling. Many patients are embarrassed to discuss this condition with their physician.[dentistryiq.com]
  • If not treated, salivary gland infections can cause severe pain, high fevers, and abscess (pus collection). Infections. Viral infections such as mumps, flu, and others can cause swelling of the salivary glands.[webmd.com]
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]
  • : 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]
Aspiration
  • Surgery or aspiration to drain an abscess if you have one. A new technique, called sialoendoscopy, uses a very small camera and instruments to diagnose and treat infections and other problems in the salivary glands.[medlineplus.gov]
  • Sialocele and salivary fistula can frequently be managed nonoperatively with antibiotics, pressure dressings, and serial aspiration.[emedicine.medscape.com]
  • Some patients can be managed with repeated aspirations and compression. 4 Some authors advocate insertion of a temporary catheter into the duct via intra-oral route which allows saliva to enter into the oral cavity.[ispub.com]
Drooling
  • […] sample patient advice information Previous edition was WINNER OF THE ROYAL SOCIETY OF MEDICINE/SOCIETY OF AUTHORS BOOK AWARDS IN THE 'NEW AUTHORED BOOK' CATEGORY Fully updated throughout to ensure currency of informationNew chapters on sialorrhoea, drooling[books.google.com]
  • Drooling (Medical Encyclopedia) Salivary duct stones (Medical Encyclopedia) Salivary gland infections (Medical Encyclopedia) Salivary gland tumors (Medical Encyclopedia) Sialogram (Medical Encyclopedia) [ Read More ][icdlist.com]
  • Slurred speech Drooling with excessive salivation Disturbance in taste sensations Excessive thirst that is often accompanied by frequent urination because of having a dry mouth Causes of Parotid gland swelling There are many different reasons that a person[healthool.com]
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]
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]
Parotid Mass
  • 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]
Parotid Mass
  • 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]
Dry Eyes
  • In addition to dry eyes and... If you're bothered by dry eyes and mouth, talk to your doctor about whether you have the autoimmune condition Sjogren's syndrome.[pinterest.co.uk]
  • Dry mouth or dry eyes are common. This may occur with other systemic diseases such as rheumatoid arthritis. Diabetes may cause enlargement of the salivary glands, especially the parotid glands.[comprehensiveent.com]
  • eyes If the cause is mumps men and adolescent boys may notice that their testes are swollen Having pain in the parotid gland Loss of the angle of your jaw Complete or partial loss of movement on the affected side of the face.[healthool.com]
  • An autoimmune disease caused by anti-SS-A and anti-SS-B antibodies, Sjögren's syndrome presents as xerostomia, dry eyes, and bilateral swelling of the major salivary glands.[clinicaladvisor.com]
Flushing
  • Healthcare providers may use sound waves to break up the stone and then flush out the pieces. A basket may also be used to remove the stone from the duct. Parotid gland removal may be needed if other treatments do not work.[drugs.com]
  • Sialendoscopy uses a very small endoscope passed through the natural opening of the duct in the mouth into the salivary duct to retrieve the stone, dilate a narrowing or flush out the gland.[comprehensiveent.com]
  • […] causing facial weakness (facial asymmetry e.g. drooping of the corner of the mouth causing a wry smile), facial indentation (one side of the cheek is flatter than the opposite side), temporary numbness of the face and ear, or Frey’s Syndrome (food-induced flushing[theentcentre.com]
  • This was distinct from the flush of overfilling, which tends to be diffuse, occurs later in the procedure and is painful.[emj.bmj.com]
Warm Skin
  • skin: sialadenitis Tender: inflammatory condition is tender Salivary gland massage: purulent saliva: inflammatory, sialadenitis Decreased saliva Lymphadenopathy of neck Diagnostic Imaging and Tests Salivary Ultrasound (see very detailed page with multiple[medicine.uiowa.edu]
Suggestibility
  • 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]
  • 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]
  • 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]
  • Failure to resolve may suggest an abscess which can be identified on CT scan and usually require a drainage procedure. Severe cases may lead to airway compromise and difficulty breathing.[theentcentre.com]
  • Research suggests that a reduction in the use of X-rays for dental and other procedures is linked with a reduction in salivary gland cancer.[medicalnewstoday.com]
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]
Facial Swelling
  • It produces a clinical picture of facial swelling with minimal pain, and may be diagnosed by computed tomography or sialography.[emj.bmj.com]
Testicular Swelling
  • Fever, headache, painful testicular swelling (orchitis) and a rash may occur as well. The symptoms are generally not severe in children.[clinicaladvisor.com]

Treatment

  • 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]
  • 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]
  • 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 Salivary Gland Disorders Treatment of salivary gland disorders may involve treating the underlying condition or illness.[vernickandgopal.com]

Prognosis

  • 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]

Etiology

  • Its etiology is considered to be multifactorial, and its exact pathogenesis is not fully understood.[journals.plos.org]
  • Sialoliths and granulomatous diseases are inflammatory conditions that cause enlargement and pain but do not have an infectious etiology.[clinicaladvisor.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]
  • Later on an unspecified date, she referred for recurrent parotid gland swelling of unclear etiology. The pt stated that she initially experienced tooth pain and visited her dentist, who found no dental or gingival disease.[accessdata.fda.gov]
  • J: Juvenile Recurrent Parotitis: A Retrospective Comparison of Sialendoscopy Versus Conservative Therapy Laryngoscope, 124:451-455,2014 Barrabeig I, Costa J, Rovira A, Marcos MA, Isanta R, Lopex-Adalid R, Cervilla A, Torner N, and Dominguez A:Viral etiology[medicine.uiowa.edu]

Epidemiology

  • 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]
Sex distribution
Age distribution

Pathophysiology

  • 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]

Prevention

  • 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]
  • 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]
  • You can't always prevent salivary gland stones It's not clear what causes salivary gland stones, so there's no way to prevent them. They're not generally linked with any other health problems.[nhs.uk]
  • 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]
  • In many cases, salivary gland infections can't be prevented. Good oral hygiene may prevent some cases of bacterial infection. Elluru RG. Physiology of the salivary glands. In: Flint PW, Haughey BH, Lund V, et al, eds.[medlineplus.gov]

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