What are the treatment options for submandibular sialadenitis/sialadenosis?

Updated: May 12, 2020
  • Author: Adi Yoskovitch, MD, MSc; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

One management scheme is as follows:

  • Acute sialadenitis - Medical management (hydration, antibiotics [oral versus parenteral], warm compresses and massage, sialogogues); [1] surgical management (consideration of incision and drainage versus excision of the gland in cases refractory to antibiotics, incision and drainage with abscess formation, gland excision in cases of recurrent acute sialadenitis)
  • Salivary calculi - Medical management (hydration, compression and massage, antibiotics for the infected gland); surgical management (duct cannulation with stone removal, gland excision in recurrent case)
  • Sjögren disease - Medical management (hydration, dental hygiene, rheumatology and dental referral); surgical management (gland excision not usually needed unless recurrent acute sialadenitis)
  • Sialadenosis - medical management (treatment of underlying cause); surgical management (not indicated)

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