december 10 2010
Download
Skip this Video
Download Presentation
Good Morning and Welcome Applicants!!

Loading in 2 Seconds...

play fullscreen
1 / 23

Good Morning and Welcome Applicants!! - PowerPoint PPT Presentation


  • 75 Views
  • Uploaded on

December 10, 2010. Good Morning and Welcome Applicants!!. Stensen’s duct. Wharton’s ducts. Sialolithiasis. Stones in salivary glands or ducts 80-90\% arise from submandibular glands 75\% are unilateral Rare in children. Sialolithiasis. Etiology Stagnation of saliva rich in Ca

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Good Morning and Welcome Applicants!!' - nanette


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
sialolithiasis
Sialolithiasis
  • Stones in salivary glands or ducts
  • 80-90% arise from submandibular glands
  • 75% are unilateral
  • Rare in children
sialolithiasis1
Sialolithiasis
  • Etiology
    • Stagnation of saliva rich in Ca
    • Inflammation
    • Dehydration
    • Anti-cholinergics
    • Trauma
sialolithiasis2
Sialolithiasis
  • History
    • Pain – 70%
    • Swelling
    • Aggravated by eating
  • Physical Exam
    • Flow of saliva
    • Stones may be visible
    • Stones may be palpated
sialolithiasis3
Sialolithiasis
  • Diagnosis
    • CT
      • High resolution
      • Imaging modality of choice
    • Plain films
      • Submandibular calculi – 80-95%
      • Parotid calculi – 60%
sialolithiasis4
Sialolithiasis
  • Diagnosis
    • Ultrasound
      • If >2mm
    • Sialography
      • Invasive
      • Stricture
    • MRI
      • Not helpful for stones
sialolithiasis5
Sialolithiasis
  • Treatment
    • Conservative
      • Hydration
      • Moist heat
      • Massage
      • Sialogogues
      • NSAIDs
      • Infection
sialolithiasis6
Sialolithiasis
  • Treatment
    • Persistent symptoms
      • Referral to a subspecialist
  • Complications
    • Secondary infection
    • Dysfunctional gland
sialadenitis
Sialadenitis
  • Causes
    • Bacteria
      • Staph
      • Oral flora
    • Viruses
      • Mumps
      • Flu
      • Coxsackie
      • EBV
      • Parainfluenza
      • HSV
      • CMV
sialadenitis1
Sialadenitis
  • Risk Factors
    • Elderly
    • Dehydration
    • Intubation
    • Recent intensive teeth cleaning
    • Anticholinergic drugs
    • Malnutrition
    • Salivary calculi
    • Neoplasm
sialadenitis2
Sialadenitis
  • History
    • Pain
    • Swelling
    • Erythema
    • Pus draining from duct
    • Fever and chills
    • Trismus
    • Dysphagia
    • Firm gland
sialadenitis3
Sialadenitis
  • Diagnosis
    • Clinical history
    • Culture of any purulent drainage
    • Extra-oral needle aspiration
sialadenitis4
Sialadenitis
  • Imaging
    • Inflammation vs obstruction or both
    • Abscess
    • Tumor
    • Modalities
      • US
      • CT
        • Most sensitive
      • MR sialography
sialadenitis5
Sialadenitis
  • Treatment
    • Hydration
    • IV Antibiotics
      • Staph and mixed oral aerobes and anaerobes
      • No clinical trials
        • Nafcillin or antistaphylococcal penicillin or 1st generation cephalosporin PLUS
        • Metronidazole or clindamycin
      • Duration
        • 10-14 days total (IV + oral)
sialadenitis6
Sialadenitis
  • Complications
    • Neck swelling
      • Respiratory compromise
      • Parapharyngeal space infection
      • Jugular thrombophlebitis
    • Septicemia
    • Osteomyelitis
    • Facial Nerve Palsy
ad