Treatment of Sublingual Sialadenitis in Sialolithiasis with Formation of Calculi in the Ductal Systems
This protocol addresses sublingual sialadenitis occurring in the setting of sialolithiasis — calculi forming within the ductal systems of the salivary glands — in patients who present with post-meal swelling and pain and a history of recurrent acute suppurative sialadenitis.
Clinical Scenario
Sialolithiasis involves the formation of calculi in the ductal systems of the salivary glands. Patients typically present with swelling and pain after eating, and many have a history of recurrent acute suppurative sialadenitis — a pattern that points to ongoing ductal obstruction by the calculus.
Treatment Approach
When sialolithiasis is confirmed as the underlying cause, management centres on targeted ductal intervention to address the obstructing stone — the complete evidence-based options and selection criteria are detailed in the full regimen.
References
DOI: 10.46747/cfp.6908531
- Sialolithiasis involves formation of calculi in the ductal systems of the salivary glands and primarily affects the submandibular glands (80% to 90% of cases).
- Patients with sialolithiasis frequently present with swelling and pain after eating and a history of recurrent acute suppurative sialadenitis.
- When the underlying cause is sialolithiasis, the stone should be extracted.
- This can be done via ductal dilation or by making a small incision in the duct to extract the stone.
- More recently, sialendoscopy has become a viable treatment option.
- This technique uses small endoscopes placed in the salivary duct that can be used to dilate the duct and remove the calculus.
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