Sialolithiasis: Difference between revisions
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===Background=== | |||
*Development of a calcium carbonate and calcium phosphate stone in a stagnant salivary duct | |||
*>80% occur in the submandibular gland | |||
===Clinical Features=== | |||
*Pain, swelling, and tenderness may resemble parotitis | |||
**Sialolithiasis is exacerbated by meals and may develop over course of minutes when eating | |||
*Typically unilateral | |||
*A stone may be palpated within the duct and the gland is firm | |||
===Treatment=== | |||
*Abx only indicated if concurrent infection | |||
*Palpable stones in the distal duct may be 'milked' out | |||
*Give lemon drops or other sialogogues | |||
==See Also== | |||
[[Salivary Gland Infections]] | |||
==Source== | |||
Tintinalli | |||
[[Category:ENT]] | |||
[[Category:ID]] | |||
Revision as of 03:19, 22 April 2013
Background
- Development of a calcium carbonate and calcium phosphate stone in a stagnant salivary duct
- >80% occur in the submandibular gland
Clinical Features
- Pain, swelling, and tenderness may resemble parotitis
- Sialolithiasis is exacerbated by meals and may develop over course of minutes when eating
- Typically unilateral
- A stone may be palpated within the duct and the gland is firm
Treatment
- Abx only indicated if concurrent infection
- Palpable stones in the distal duct may be 'milked' out
- Give lemon drops or other sialogogues
See Also
Source
Tintinalli