González RGM, Nieto MAM, García NM, San JGCA, Hernández PE, Herrera GMJ

Language: Spanish
References: 15
Page: 342-350
PDF size: 340.99 Kb.

ABSTRACT

Introduction: the formation of sialoliths is considered the most common alteration in the salivary glands. Its origin, which is not yet clear, causes partial or total obstruction of the salivary duct system, with a significant predilection on the submandibular glands. This allows a retrograde movement of bacteria through the salivary duct towards the affected gland and that clinically results in unilateral or bilateral inflammation. Treatment for sialolithiasis and sialadenitis can range from conservative management with sialagogues and antibiotic therapy to invasive treatments that involve surgical removal of the sialolith and in the worst case, removal of the affected salivary gland. Sialadenosis differs from the previous ones in its origin, it is not considered inflammatory or neoplastic and does not affect the glandular function of excreting saliva. Clinical case: male patient with presumptive diagnoses of sialadenitis and sialolithiasis, who underwent an excisional biopsy of the affected gland. Confirming the aforementioned diagnoses to his histopathological study and also confirming an additional diagnosis of sialadenosis. Conclusions: excision of the salivary gland involved will be performed in diagnosed cases of sialadenitis and sialolithiasis with large sialoliths and chronic suppurative processes that do not resolve with antibiotic therapy.

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