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

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