What is the management for sialoadenitis of the left submandibular gland?

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Last updated: February 9, 2025View editorial policy

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From the Research

Management of Sialoadenitis of the Left Submandibular Gland

The management of sialoadenitis of the left submandibular gland involves various approaches, including:

  • Diagnostic procedures such as traditional Rx, ultrasonographic technique, scintigraphy technique, C.T., sialography technique with contrast or sialography M.R. 1
  • Lithotripsy and sialendoscopy, which have been introduced as gold standard diagnostic procedures and therapeutic tools for obstructive sialoadenitis 1
  • Surgical techniques, including transoral and extraoral routes for access to the gland, for the treatment of sialolithiasis, which is the most common cause of sialadenitis in the submandibular gland 2
  • Quantitative Salivary Gland SPECT/CT for the detection of saliva leakage, which can be used to investigate sialorrhea and the cause of discharge 3
  • Selective management of obstructive submandibular sialadenitis using surgical and sialoendoscopic techniques, which can be effective in relieving obstructive symptoms 4

Treatment Options

Treatment options for sialoadenitis of the left submandibular gland include:

  • Removal of the sialolith through surgical or interventional sialoendoscopic techniques 2, 4
  • Excision of the submandibular gland through an extraoral approach, which can be a safe and effective approach for removing the gland 2
  • Transcervical incision and drainage of the abscess, which can be performed in cases of abscess formation 3
  • Sialoendoscopy, which can be used to diagnose and treat chronic obstructive submandibular sialadenitis 4

Diagnostic Imaging

Diagnostic imaging modalities used in the management of sialoadenitis of the left submandibular gland include:

  • Radiographs, which can be used to diagnose sialoliths 2, 4
  • Ultrasonographic technique, which can be used to diagnose obstructive sialadenitis 1
  • Scintigraphy technique, which can be used to diagnose obstructive sialadenitis 1
  • C.T., which can be used to diagnose obstructive sialadenitis 1
  • Sialography technique with contrast or sialography M.R., which can be used to diagnose obstructive sialadenitis 1
  • Salivary gland SPECT/CT, which can be used to detect saliva leakage 3

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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