Salivary stone disease: picture, symptoms, treatment
Sialoliths or salivary stone disease is an inflammatory process affecting a salivary gland. As a result of its conduct, the operation of these glands because of the appearance of different sizes of stones.
It develops mainly in men, but less often seen in children.
What is it clonakenny disease (sialoliths) and why it actually occurs? The disease process often affects the ducts, but sometimes develop stones in the prostate, which complicates its treatment.
History of the disease varies in each case, but to delay therapy, it is that the process has not spilled over into chronic, it lowers the risk of developing abscess. Itself gland is enlarged in size, swollen and on palpation there is tenderness.
The classification is based on appearance of the affected salivary gland. Almost never from sialolithiasis do not suffer small and the sublingual, parotid salivary gland is rarely affected (8%), but most cases of pathology falls on the submandibular. The disease predominantly occurs in patients older than 35 years.
Why is there salivary stone disease? Etiology is the following:
- inflammation — as a result of pathological microflora multiplies, and the ducts are bent. The rapid multiplication of bacteria leads to the formation of purulent, after a while the stone increases in size;
- mechanical damage to the ducts;
- slowing of function of salivation — developing fluid retention and the accumulation of it in the ducts she kristallizuetsya, turning slowly to salivary stones;
- the ingress of foreign particles — the cause of inflammation in this case may be even a small salt crystal;
- a failure in metabolic processes — mineralization of saliva develops due to its high content of calcium.
The pathogenesis of the disease in children and adults are similar, the stones are different sizes, sometimes the process itself with purulent inflammation.
Photos and x-rays
Photos presented in the article show the development of salivary stone disease. X-rays are done in the diagnostic process but must always be supplemented by other studies.
The initial stage of the pathological process asymptomatic. Signs of sialolithiasis the following:
- feeling of dryness in the mouth due to lack of saliva;
- swelling of the neck and face, as the fluid accumulates, but has no outlet;
- instead of saliva mucus has a bad smell and taste;
- difficulties with chewing, swallowing and even opening the mouth;
- swelling in the area of finding the stone;
- the spread in the neck and facial redness;
- when a large size stone is difficult to speak;
- pain in the mouth area and cheeks remaining, even at rest;
- ottopyrivanie ear lobe, if the stone is in this area.
If the disease is aggravated by infection and suppurative inflammation arises, to the above symptoms is added to the weakness, body aches, fever, malaise and headache. In inflammation the temperature is higher, there is a hot area, even palm.
Stones in the ducts of the salivary glands identify with the help of a range of diagnostic procedures:
- The x-ray.
- Sialography — the procedure involves the use of special contrast which will be injected in the flow injection. Technique one of the most informative, and therefore used more often than others.
- If on palpation the tumor was not felt, you can appoint carrying out an ultrasound.
- Computed tomography — a method helps to accurately determine the location and size of the stones.
Salivary stone disease and its treatment
Salivary stone disease often requires surgical intervention. It is the removal of stones and recovery of salivation are the main goal of treatment. With a small amount of entities doctor may recommend medication therapy and massage to stimulate the release of the stone.
- Held anti-inflammatory therapy to prevent the development of secondary infection.
- Antibiotics are prescribed individually due to extensive side effects.
Also the patient must maintain a special diet. You need to Supplement your diet with foods that increase salivation (sauerkraut, lemons, other sour food). For small stones it can help the whole process of the salivary duct.
Surgery is required in cases when the disease spilled over into the chronic form.
- Duct will be placed in a special probe that determines the location of the stone.
- After that, it will cut and the doctor will remove the tumor.
- The stitches are not put to after healing flow in the future could function.
- If stone removal is not possible, then resection of the entire salivary gland.
To prevent the formation of a fistula after operation to apply a pressure bandage and eat liquid food. To relieve pain you need before meals intake of 0.1% atropine or tincture of belladonna (10 drops).
Video: more about salivary stone disease Professor Lastovka A. S.
At home treatment salivary stone disease, and therefore, the use of traditional recipes should be agreed with your doctor. Effective the following folk remedies:
- soda lotions in boiled water dissolve a teaspoon of soda powder and RUB the mixture to the oral cavity;
- gargle medicinal teas based on herbs — prepare a mixture of chamomile, propolis, sage and eucalyptus;
- aromatherapy also helps to recover from sialolithiasis — healthier just a couple of eucalyptus, peppermint, pine, ginseng;
- healing salve — made from ampoules of Novocaine, protein eggs, 1 tsp oil vegetable oil and the same amount of honey. Components are mixed, and areas of inflammation in your mouth are lubricated 3 times per day all week;
- viburnum berries — they are in equal parts mixed with honey (liquid). A week insist the mixture in a dark place, diluted medical alcohol (100 ml). On the day the medication is kept in the mouth twice a teaspoon, and after the swallow;
- cranberry — knead it and put the mush in his mouth. She is known for anti-inflammatory properties and will help stimulate the salivary glands.
Sialoliths may be complicated by phlegmon or abscess of the soft tissues surrounding the salivary gland. It should be noted that the risk of complications remains after surgery.
The most common of them are:
- the penetration of stone into the duct — it affects the treatment and makes its extraction impossible;
- failure to remove stones this happens if several of them and they are located deep;
- bruising, injury to blood vessels and severe bleeding;
- numbness of the tongue due to injury ray nerve;
- the scar formation.
Preventive measures are quite simple:
- you need to carefully monitor their health, time to treat the disease that violate the metabolic processes in the body;
- should give up bad habits (alcohol, Smoking);
- the diet should contain enough vitamins, especially helpful is vitamin A;
- if there are congenital anomalies of the ducts, then they need to be addressed;
- should the oral hygiene.
If sialoliths acquired a chronic course, the task of the patient — prevention of exacerbations.
Video: removal of the submandibular gland with stone.
Eugene, 46 years
Long time did not pay attention to the pain, I thought just had a cold and the lymph nodes are inflamed. When the pain became unbearable, went to the surgeon. The next day removed the stone. It turned out that if I addressed previously, have been able to avoid surgery and the stone would not be increased. Conclusion: now I will time to visit a doctor.
March 30 years
When he felt the unpleasant taste of saliva and the same smell, immediately went to the doctor! I thought that I had a hidden tooth decay, and salivary stone disease. Pain is not even felt, just discomfort as the stone, fortunately, was small. Only had the massage that he got. Now I drink prescribed medications and carefully monitor the hygiene of the mouth.
Igor, 25 years
Pleasant in this disease a little. The first stone came he managed to irrigate the salivary duct of the popular methods, because I do not like doctors. But it turned out that he wasn’t alone, so after a month had to go to the dentist. Almost brought everything to abscess!
► Code for ICD-10
According to ICD salivary stone disease is the code K11.5.
► To what doctor to address?
At occurrence of first signs of the disease may need to visit a dentist, physician or surgeon to obtain their further instructions.
Sialoliths is a serious disease, which is characterized sometimes by a lack of saliva, but what if in the mouth there is an increased salivation? Read more about this here.