Treatment of Acute Submandibular Sialadenitis with Extreme Localized Tenderness and Abscess Formation
Clinical Scenario
This protocol addresses patients presenting with acute onset of pain and swelling of the submandibular gland accompanied by induration, edema, and extreme localized tenderness. On examination, massage of the gland expresses purulent discharge from the intraoral duct orifice — a finding that signals suppurative involvement and possible abscess formation.
Treatment Approach
When acute suppurative sialadenitis progresses to abscess formation, a surgical intervention is the indicated course of management.
The complete clinical decision pathway and step-by-step regimen are available in the full protocol.
References
- Patients with acute sialadenitis typically present with acute onset of pain and swelling of the affected gland.
- Physical examination may reveal induration, edema, and extreme localized tenderness.
- Massage of the gland may express pus from the respective intra-oral orifice (Figure 2).
- Rarely, acute suppurative sialadenitis can lead to abscess formation; surgical drainage is indicated in these cases.
View source ↗