Sialoadenitis: Difference between revisions
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Sialoadenitis is '''inflammation''' of the salivary glands. They can be divided into: | Sialoadenitis is '''inflammation''' of the salivary glands. They can be divided into: | ||
# ''' | # '''imunosialoadenitis'''; | ||
# '''infectious sialoadenitis''' ; | # '''infectious sialoadenitis'''; | ||
#* bacterial; | #* bacterial; | ||
#* viral; | #* viral; | ||
#* specific ( syphilis , tuberculosis , actinomycosis ); | #* specific ( syphilis, tuberculosis, actinomycosis ); | ||
# '''radiation sialoadenitis''' . | # '''radiation sialoadenitis''' . | ||
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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 . | 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 . | * 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 . | * In a salivary gland affected by myoepithelial sialoadenitis, the risk of malignant lymphoma is several times higher. | ||
* We administer immunosuppressants and corticosteroids . | * We administer immunosuppressants and corticosteroids. | ||
=== Acute viral sialoadenitis === | === Acute viral sialoadenitis === | ||
Acute viral sialoadenitis is caused by the mumps virus ( mumps ), which belongs to the so-called paramyxoviruses, possibly another sialotrope virus. | 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. | * It often occurs in childhood. | ||
* In addition to gl. the parotid gland can also affect the CNS , testicles , ovaries , pancreas or auditory nerve . | * In addition to gl. the parotid gland can also affect the CNS, testicles, ovaries, pancreas or auditory nerve. | ||
* Treatment is symptomatic. | * Treatment is symptomatic. | ||
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* The inflammation is monoglandular and occurs unilaterally. | * The inflammation is monoglandular and occurs unilaterally. | ||
* Symptoms are swelling, pain, dysfunction, saliva is viscous to purulent. Resistance can be felt. | * 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. | * 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 . | * Treatment consists of rehydration and application of ATB. | ||
=== Chronic bacterial sialoadenitis === | === Chronic bacterial sialoadenitis === | ||
[[File:Chronic sialadenitis.jpg|thumb|right|320px|Microscopic image of chronic sialoadenitis]] | [[File:Chronic sialadenitis.jpg|thumb|right|320px|Microscopic image of chronic sialoadenitis]] | ||
==== Chronic fibroproductive sialoadenitis ==== | ==== Chronic fibroproductive sialoadenitis ==== | ||
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 . | 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. | * Treatment consists in extirpation of the gland. | ||
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* It occurs mainly in childhood (between the ages of 1 and 14), and usually disappears in puberty. | * 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. | * 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 . | * At the time of the attack, we treat with antibiotics. | ||
=== Sialoadenitis from radiation === | === Sialoadenitis from radiation === | ||
Revision as of 10:38, 1 May 2023
This article has been translated from WikiSkripta; the translation needs to be checked.
This article has been translated from WikiSkripta; the formatting needs to be checked.
Sialoadenitis is inflammation of the salivary glands. They can be divided into:
- imunosialoadenitis;
- infectious sialoadenitis;
- bacterial;
- viral;
- specific ( syphilis, tuberculosis, actinomycosis );
- radiation sialoadenitis .
Immunosialoadenitis
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.
Acute viral sialoadenitis
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
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
Chronic fibroproductive sialoadenitis
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)
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
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
Related Articles
Sources
- BENEŠ, Jiří. Studijní materiály [online]. ©2007. [cit. 2009]. <http://jirben2.chytrak.cz/materialy/orl_jb.doc>.
References
- 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.
