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2.1
Parotid Duct Obstruction

Presentation

We present the radiological findings, and discuss an empirical basis for management. [emj.bmj.com]

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

Patients often present with complaints that are not directly related to structures in the oral cavity, but rather to those around it. [oralhealthgroup.com]

The presentation can be acute, recurrent, or chronic. Acute suppurative sialadenitis presents as rapid-onset pain and swelling and is treated with antibiotics, salivary massage, hydration, and sialagogues such as lemon drops or vitamin C lozenges. [aafp.org]

Seventeen cases presented with punctiform or globular dilatation, 7 presented with a filling defect in SD, and 10 presented with irregular duct segmental dilatation and narrowing. In two cases, the APG drained into SD through two ADs. [journals.plos.org]

Jaw & Teeth

  • Parotid Swelling

    However there was no recurrence of parotid swelling. [jofs.in]

    Sarcoidosis can cause swelling of the parotid gland and sometimes facial-nerve palsy. Heerfordt's uveoparotitis is a manifestation of sarcoidosis that occurs when the lacrimal gland, uveal tract and parotid gland are involved. [clinicaladvisor.com]

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

    Recurrent episodes of swelling and pain of the parotid gland with fever and pain, the cause of which is unknown. [patient.info]

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

  • Parotid Mass

    Color Doppler images of the tumor in the right parotid gland show mild vascularity of the mass. There is no evidence of calcification, but a few cystic areas are present within the mass. [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]

Face, Head & Neck

  • Facial Pain

    […] opening your mouth Facial 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 [healthool.com]

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

Workup

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]

Treatment

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]

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]

It is not intended as medical advice for individual conditions or treatments. [drugs.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]

[…] 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]

Etiology

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

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]

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]

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]

Prevention

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]

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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