Sialolithiasis
Revision as of 03:19, 22 April 2013 by Rossdonaldson1 (talk | contribs)
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