Sialoadenitis is inflammation of the salivary glands. They can be divided into:
- infectious sialoadenitis;
- specific ( syphilis, tuberculosis, actinomycosis );
- radiation sialoadenitis .
Immunosialoadenitis[edit | edit source]
This group of salivary gland diseases includes the so-called myoepithelial sialoadenitis, which is an autoimmune disease that occurs as part of Sjögren's syndrome.
- Clinically, the disease is manifested by a typical triad: rheumatoid arthritis, xerophthalmia, xerostomia.
- In a salivary gland affected by myoepithelial sialoadenitis, the risk of malignant lymphoma is several times higher.
- We administer immunosuppressants and corticosteroids.
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Acute viral sialoadenitis is caused by the mumps virus (mumps), which belongs to the so-called paramyxoviruses, possibly another sialotrope virus.
- It often occurs in childhood.
- In addition to gl. the parotid gland can also affect the CNS, testicles, ovaries, pancreas or auditory nerve.
- Treatment is symptomatic.
Acute bacterial sialoadenitis[edit | edit source]
This is an acute bacterial inflammation of the gl. parotid or gl. submandibularis. It often occurs during dehydration as an ascending ductal infection.
- The inflammation is monoglandular and occurs unilaterally.
- Symptoms are swelling, pain, dysfunction, saliva is viscous to purulent. Resistance can be felt.
- The disease can be complicated by the formation of an abscess, which must then be treated surgically.
- Treatment consists of rehydration and application of ATB.
Chronic bacterial sialoadenitis[edit | edit source]
Chronic fibroproductive sialoadenitis[edit | edit source]
Affects gl. submandibularis. It is a chronic fibroproductive inflammation , which is clinically manifested by an enlarged and stiff submandibular gland. The disease is sometimes inappropriately referred to as the so-called Küttner's tumor.
- Treatment consists in extirpation of the gland.
Chronic recurrent parotitis (Morbus Payen; Parotitis recidivans)[edit | edit source]
It is a chronic bacterial inflammation of the gl. parotis, which has a typical paroxysmal course. The periods between attacks are asymptomatic.
- It occurs mainly in childhood (between the ages of 1 and 14), and usually disappears in puberty.
- The disease has a characteristic sialographic picture. The entire gland is permeated by a number of round cysts that enlarge into irregular cisterns during the course of the disease.
- At the time of the attack, we treat with antibiotics.
Sialoadenitis from radiation[edit | edit source]
It is a pathological condition manifested within 24 hours after exposure to ionizing radiation. Its severity depends on the dose of radiation, after a few days it may return to its original state.
- There is edema and necrosis of the acini, the parenchyma of the gland atrophies, the epithelium becomes metaplastic or atypically proliferates.
- Interstitial fibrosis is present.
- The disease is part of oral mucositis.
- Treatment consists of saliva replacement.
Links[edit | edit source]
Related Articles[edit | edit source]
Sources[edit | edit source]
- BENEŠ, Jiří. Studijní materiály [online]. ©2007. [cit. 2009]. <http://jirben2.chytrak.cz/materialy/orl_jb.doc>.
References[edit | edit source]
- KLOZAR, Jan. Speciální otorinolaryngologie. 1. edition. Galén, 2005. 224 pp. ISBN 80-7262-346-X.
- KILIAN, Jan. Prevence ve stomatologii. 2. edition. Galén, 1999. ISBN 80-7262-022-3.
- WOTKE, Jiří. Patologie orofaciální oblasti. 1. edition. Grada, 2001. ISBN 80-7169-975-6.