Submandibular Sialadenitis/Sialadenosis Questions & Answers

Updated: Apr 27, 2018
  • Author: Adi Yoskovitch, MD, MSc; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Questions & Answers

Overview

What is submandibular sialadenitis/sialadenosis?

What anatomy is relevant to understanding submandibular sialadenitis/sialadenosis?

What should be included in the evaluation of submandibular sialadenitis/sialadenosis?

What is the range of options for the management of submandibular sialadenitis/sialadenosis?

What are the treatment options for submandibular sialadenitis/sialadenosis?

What is the role of the salivary glands in the pathogenesis of submandibular sialadenitis/sialadenosis?

What is the pathophysiology of saliva in submandibular sialadenitis/sialadenosis?

What is the mechanism of salivary secretion in the pathogenesis of submandibular sialadenitis/sialadenosis?

What is the role of secretion viscosity in the pathogenesis of submandibular sialadenitis/sialadenosis?

What is the incidence of submandibular sialadenitis/sialadenosis in the US?

What are the racial predilections for submandibular sialadenitis/sialadenosis?

How does the incidence of submandibular sialadenitis/sialadenosis vary by sex?

In which age group is submandibular sialadenitis/sialadenosis most prevalent?

Presentation

What is the focus of history in the evaluation of submandibular sialadenitis/sialadenosis?

What is included in the physical exam for suspected submandibular sialadenitis/sialadenosis?

What is acute sialadenitis?

What are the signs and symptoms of acute sialadenitis?

What is the most common bacteria involved in the etiology of acute sialadenitis?

What causes acute sialadenitis in neonate and prepubescent children?

Which viruses are involved in the etiology of acute sialadenitis?

What are the signs and symptoms of submandibular abscess in acute sialadenitis?

What are the signs and symptoms of chronic sialadenitis?

What is salivary calculi (sialolithiasis)?

What causes salivary calculi (sialolithiasis)?

What are the stones composed of in salivary calculi (sialolithiasis)?

What causes autoimmune sialadenitis?

What is sialadenosis?

What are the etiologies of sialadenosis?

Which physical findings are characteristic of sialadenosis?

DDX

What should be included in the different diagnoses of submandibular sialadenitis/sialadenosis?

Workup

Which lab studies are performed in the workup of submandibular sialadenitis/sialadenosis?

What is the basis for selection of imaging studies in the evaluation of submandibular sialadenitis/sialadenosis?

What is the role of radiography in the diagnosis of submandibular sialadenitis/sialadenosis?

What is the role of sialography in the diagnosis of submandibular sialadenitis/sialadenosis?

What is the role of ultrasonography in the diagnosis of submandibular sialadenitis/sialadenosis?

What is the role of CT scanning in the diagnosis of submandibular sialadenitis/sialadenosis?

What is the role of MRI in the diagnosis of submandibular sialadenitis/sialadenosis?

What is the role of positron emission tomography/CT (PET/CT) scanning in the diagnosis of submandibular sialadenitis/sialadenosis?

What is the role of biopsy in the diagnosis of submandibular sialadenitis/sialadenosis?

Treatment

How is Sjögren disease managed in patients with submandibular sialadenitis/sialadenosis?

What is range of options for management of submandibular sialadenitis/sialadenosis?

What are the treatment options for submandibular sialadenitis/sialadenosis by subtype?

What is the role of salivary stimulation therapy in the treatment of submandibular sialadenitis/sialadenosis?

What is the focus of medical management of submandibular sialadenitis/sialadenosis?

How is acute sialadenitis managed?

How is sialolithiasis managed?

How is sialadenosis managed?

When is hospitalization indicated in the treatment of submandibular sialadenitis/sialadenosis?

When is gland excision indicated in the treatment of acute sialadenitis?

What is the benefit of endoscopic management of acute sialadenitis?

What is the role of sialendoscopy in the treatment of chronic sialadenitis?

What are the surgical options for sialolithiasis?

Medications

What are the goals of drug treatment for submandibular sialadenitis/sialadenosis?

Which medications in the drug class Antibiotics are used in the treatment of Submandibular Sialadenitis/Sialadenosis?

Follow-up

How should patients be monitored following treatment of submandibular sialadenitis/sialadenosis?

What is included in inpatient care for submandibular sialadenitis/sialadenosis?

Which medications are used in the treatment of submandibular sialadenitis/sialadenosis?

What are possible complications of submandibular sialadenitis/sialadenosis?

What is the prognosis of submandibular sialadenitis/sialadenosis?

What is included in the patient education for submandibular sialadenitis/sialadenosis?