Presentation
Patients often present with complaints that are not directly related to structures in the oral cavity, but rather to those around it. [oralhealthgroup.com]
Inflammatory and infectious swellings Inflammatory and infectious swellings present acutely and are often painful enlargements of the salivary glands. [clinicaladvisor.com]
We present the radiological findings, and discuss an empirical basis for management. [emj.bmj.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]
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]
Entire Body System
- Swelling
Parotid Gland Swelling Pictures Images, Photos and Pictures collection of Parotid Gland Swelling… Parotid Gland Swelling 4.9 (98.26%) 23 votes [healthool.com]
This may help relieve swelling and pain. Apply heat on your swollen gland for 20 to 30 minutes every 2 hours for as many days as directed. Heat helps decrease pain and swelling. How can I help prevent a PDO? Drink liquids as directed. [drugs.com]
Inflammatory and infectious swellings Inflammatory and infectious swellings present acutely and are often painful enlargements of the salivary glands. [clinicaladvisor.com]
A patient with salivary obstruction typically complains of recurrent swelling in the area of the involved gland, especially before meal times; thus the term “meal time swellings”. [oralhealthgroup.com]
All salivary gland swellings need urgent referral and investigation. [patient.info]
- 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]
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]
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]
- Malaise
The patient will complain of pain and such symptoms as fever and malaise. Fortunately, the swelling is self-limiting and typically resolves with anti-staphylococcal antibiotic therapy and increased fluid intake. [clinicaladvisor.com]
Children typically present with recurrent episodes of acute or subacute parotid gland swelling with fever, malaise, and pain ( Figure 3 ). The disorder is usually unilateral, but can affect both sides. [aafp.org]
[…] rehydration, salivary gland massage, warm compress, sialogogues, and oral irrigations Antimicrobials (anti-staphylococcal) and culture if purulent discharge Submandibular abscess can mimic Ludwig's angina Viral Parotitis or Mumps: Bilateral painful swelling, malaise [medicine.uiowa.edu]
The skin overlying the affected gland may become red and warm to touch and you may even experience fever and generalized malaise. Additionally, you may experience a very foul taste in the mouth from pus draining from the affected gland. [ashfordclinic.com]
- Pathologist
Godwin, a New York pathologist, published a series of 11 parotidectomy cases in 1952 that he diagnosed as benign lymphoepithelial lesion of the parotid gland. [emedicine.medscape.com]
Once the entire tumor is removed, it is thoroughly evaluated by a pathologist in order to get any further details about the type and behavior of the tumor. [ashfordclinic.com]
- 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]
Jaw & Teeth
- Parotid Swelling
However there was no recurrence of parotid swelling. [jofs.in]
Sialosis: 35 cases of persistent parotid swelling from two countries. [medicine.uiowa.edu]
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]
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]
- Malocclusion
– Jaw joints, chewing muscles and bite abnormalities Bruxism Condylar resorption Mandibular dislocation Malocclusion Crossbite Open bite Overbite Overeruption Overjet Prognathia Retrognathia Scissor bite Maxillary hypoplasia Temporomandibular joint dysfunction [en.wikipedia.org]
[…] ductal stenosis, trauma Immunosuppression, HIV, chemotherapy, radiation, malnutrition, alcoholism Neonatal parotitis: prematurity, dehydration, low birth weight, ductal obstruction, oral trauma, structural abnormalities, immunosuppression JRP: dental malocclusion [unboundmedicine.com]
- Bruxism
[…] marrow defect Paget's disease of bone Periapical abscess Phoenix abscess Periapical periodontitis Stafne defect Torus mandibularis Temporomandibular joints, muscles of mastication and malocclusions – Jaw joints, chewing muscles and bite abnormalities Bruxism [en.wikipedia.org]
- Hypersalivation
There was no associated hypersalivation or xerostomia. [jofs.in]
Psychiatrical
- Suggestibility
A rim of few vessels suggest poor vascularity around the cyst. There is also evidence of posterior acoustic enhancement again suggestive of a cystic nature of the lesions. [ultrasound-images.com]
The cause is unknown, but inappropriate autonomic nervous system stimuli are frequently suggested. [emedicine.medscape.com]
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]
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]
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]
Neurologic
- Irritability
Problems with salivary glands can cause them to become irritated and swollen. [icdlist.com]
Strictures of the duct system may result from recurrent or chronic irritation of the glands. Certain diseases, such as Sjogren's syndrome, can result in changes in the duct system and the gland itself. [oto.wustl.edu]
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]
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]
Microbiology
- 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]
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]
It is not intended as medical advice for individual conditions or treatments. [drugs.com]
Acute parotitis in neonates This rare form of parotitis is lethal without treatment. [emedicine.medscape.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]
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]
Sialoliths and granulomatous diseases are inflammatory conditions that cause enlargement and pain but do not have an infectious etiology. [clinicaladvisor.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
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]
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]
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]
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 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]