Sialolithiasis: Difference between revisions
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==Background== | |||
*Development of a calcium carbonate and calcium phosphate stone in a stagnant salivary duct | *Development of a calcium carbonate and calcium phosphate stone in a stagnant salivary duct | ||
*>80% occur in the submandibular gland | *>80% occur in the submandibular gland | ||
==Clinical Features== | |||
*Pain, swelling, and tenderness may resemble parotitis | *Pain, swelling, and tenderness may resemble parotitis | ||
**Sialolithiasis is exacerbated by meals and may develop over course of minutes when eating | **Sialolithiasis is exacerbated by meals and may develop over course of minutes when eating | ||
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*A stone may be palpated within the duct and the gland is firm | *A stone may be palpated within the duct and the gland is firm | ||
===Treatment | ==DDX== | ||
*[[Viral Parotitis (Mumps)]] | |||
*[[Suppurative Parotitis]] | |||
==Treatment== | |||
*Abx only indicated if concurrent infection | *Abx only indicated if concurrent infection | ||
*Palpable stones in the distal duct may be 'milked' out | *Palpable stones in the distal duct may be 'milked' out | ||
Revision as of 03:21, 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
DDX
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