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Review
. 2023 Aug;69(8):531-536.
doi: 10.46747/cfp.6908531.

Approach to sialadenitis

Jonah Moore  1 , Matthew T W Simpson  2 , Natasha Cohen  3 , Jason A Beyea  3 , Timothy Phillips  3
Affiliations
Review

Approach to sialadenitis

Jonah Moore et al. Can Fam Physician. 2023 Aug.

Abstract

Objective: To provide family physicians with a practical evidence-based approach to the management of patients with sialadenitis.

Sources of information: MEDLINE and PubMed databases were searched for English-language research on sialadenitis and other salivary gland disorders, as well as for relevant review articles and guidelines published between 1981 and 2021.

Main message: Sialadenitis refers to inflammation or infection of the salivary glands and is a condition that can be caused by a broad range of processes including infectious, obstructive, and autoimmune. History and physical examination play important roles in directing management, while imaging is often useful to establish a diagnosis. Red flags such as suspected abscess formation, signs of respiratory obstruction, facial paresis, and fixation of a mass to underlying tissue should prompt urgent referral to head and neck surgery or a visit to the emergency department.

Conclusion: Family physicians can play an important role in the diagnosis and management of sialadenitis. Prompt recognition and treatment of the condition can prevent the development of complications.

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Figures

Figure 1.
Figure 1.
Algorithm for managing patients who present with suspected salivary gland disorder
Figure 2.
Figure 2.
Dissection showing salivary glands of the right side
See this image and copyright information in PMC

References

    1. Ugga L, Ravanelli M, Pallottino AA, Farina D, Maroldi R.. Diagnostic work-up in obstructive and inflammatory salivary gland disorders. Acta Otorhinolaryngol Ital 2017;37(2):83-93. - PMC - PubMed
    1. Rice DH. Nonneoplastic diseases of the salivary glands. In: Bailey BJ, Johnson JT, Newlands SD, editors. Head & neck surgery—otolaryngology. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2006. p. 545-54.
    1. Speight PM, Barrett AW.. Salivary gland tumours. Oral Dis 2002;8(5):229-40. - PubMed
    1. Myers EN, Ferris RL, editors. Salivary gland disorders. Berlin, Germany: Springer-Verlag; 2007.
    1. Arduino PG, Carrozzo M, Pentenero M, Bertolusso G, Gandolfo S.. Non-neoplastic salivary gland diseases [article in English, Italian]. Minerva Stomatol 2006;55(5):249-70. - PubMed