From the Research
Davryoadenitis treatment should prioritize a combination of antibiotics, pain management, and supportive care, with a focus on relieving obstruction and reducing inflammation, as evidenced by the most recent study 1. The treatment approach may vary depending on the underlying cause of davryoadenitis, with bacterial infections requiring oral antibiotics such as trimethoprim-sulfamethoxazole (Bactrim) 160/800 mg twice daily or ciprofloxacin 500 mg twice daily for 10-14 days, as suggested by older studies 2, 3. However, the most recent and highest quality study 1 recommends intraductal instillation of mucolytic, steroids, and antibiotic solution as an effective treatment for chronic obstructive sialoadenitis. Key aspects of treatment include:
- Pain management with nonsteroidal anti-inflammatory drugs like ibuprofen 400-600 mg every 6-8 hours or acetaminophen 500-1000 mg every 6 hours
- Applying warm compresses to the affected area for 15-20 minutes several times daily to reduce swelling and discomfort
- Adequate hydration and rest to support recovery
- In severe cases or when abscess formation occurs, surgical drainage may be necessary, although this is not the primary approach recommended by the most recent study 1 It is essential to note that the treatment should be tailored to the individual patient's needs and the underlying cause of davryoadenitis, with a focus on relieving obstruction and reducing inflammation, as emphasized by the updated guideline 4.