Sialoadenitis. Treatment of sialoadenitis
Sialoadenitis is an inflammation process of salivary glands that causes formation of calculi in salivary glands. There is a variety of manifestations of sialoadenitis: salivolithiasis, calculous sialoadenitis, sialolithiasis. The disease can cause obstruction of the gland that, consequently, will lead to inflammation and intermitting swelling of the gland accompanied by severe pains. These pains are caused by calculi that weight upon the salivary glands. Calculi are usually located in mandibular glands.
Sialoadenitis is usually caused by the following factors: operative interventions (usually those of abdominal cavity organs), infectious diseases, and stagnant secretion in salivary glands. Sialoadenitis appears in 2 forms: chronic and acute. They have a bit different manifestations.
These are the symptoms of sialoadenitis: edema, infiltration followed by purulent melting and necrosis of salivary glands. It is worth mentioning that necrosis leaves scars.
However, even acute sialoadenitis does not always cause necrosis аnd suppuration. The disease is usually arrested at earlier stages of its development. Symptoms of acute sialoadenitis include: pain in the salivary gland, its extension. In some cases sialoadenitis causes fever and problems with overall health. At early stages of disease salivary gland is soft and causes constant pain. If you leave the disease without proper treatment, a dense infiltrate is formed in the salivary gland. Soon this infiltrate will cause purulent melting. Then fluctuation will appear above the affected region. As you see, proper treatment is essential in this case. Without it one`s overall healthy can be severely damaged.
Chronic sialoadenitis is usually an independent disease though sometimes it is a result of acute sialoadenitis. It is worth mentioning that chronic sialoadenitis is usually accompanied by systemic lupus erythematosis, rheumatoid arthritis, and so on.
How to treat sialoadenitis?
Sialoadenitis is treated with the help of medicines antibiotics (erythromycin) and analgetics. It is important to know that complicated cases of sialoadenitis are treated with the help of operative intervention surgically. This method can be applied in treatment of sialoadenitis when no calculi are formed in salivary glands (calculous sialoadenitis).
If the calculus is located near the external opening of the salivary duct, it is removed through the mouth cavity. If the calculus is located deep inside the salivary duct, it is removed through a lateral incision. If a patient has multiple calculi or painful feelings are growing stronger, it is recommended to remove the salivary gland completely. Only such matters will be effective.