Le diagnostic repose sur l'examen clinique et des tests d'imagerie comme l'échographie.
SialadéniteÉchographieExamen clinique
#2
Quels tests de laboratoire sont utiles ?
Des analyses de sang et des cultures de salive peuvent aider à identifier l'infection.
Analyses de sangCulture de saliveInfection
#3
Quels signes cliniques indiquent une sialadénite ?
Douleur, gonflement et rougeur au niveau de la glande salivaire sont des signes clés.
SialadéniteDouleurGonflement
#4
La biopsie est-elle nécessaire ?
Une biopsie est rarement nécessaire, sauf si une tumeur est suspectée.
BiopsieTumeurSialadénite
#5
Peut-on utiliser l'imagerie par résonance magnétique ?
Oui, l'IRM peut être utilisée pour évaluer les complications ou les obstructions.
IRMObstructionComplications
Symptômes
5
#1
Quels sont les symptômes courants de la sialadénite ?
Les symptômes incluent douleur, enflure, sécheresse buccale et parfois fièvre.
SialadéniteFièvreSécheresse buccale
#2
La douleur est-elle constante ?
La douleur peut être intermittente, souvent aggravée par la mastication ou la déglutition.
DouleurMasticationDéglutition
#3
Y a-t-il des signes de pus ?
Oui, un écoulement purulent peut se produire si l'infection est sévère.
Écoulement purulentInfectionSialadénite
#4
Les symptômes varient-ils selon l'âge ?
Oui, les enfants peuvent présenter des symptômes différents, comme une irritabilité accrue.
EnfantsIrritabilitéSialadénite
#5
Peut-on avoir des symptômes systémiques ?
Oui, des symptômes comme fatigue et malaise général peuvent accompagner l'inflammation.
FatigueMalaiseSialadénite
Prévention
5
#1
Comment prévenir la sialadénite ?
Maintenir une bonne hygiène buccale et s'hydrater régulièrement aide à prévenir.
Hygiène buccaleHydratationPrévention
#2
Les massages des glandes salivaires sont-ils utiles ?
Oui, masser doucement les glandes peut stimuler la production de salive.
MassageGlandes salivairesProduction de salive
#3
Faut-il éviter certains aliments ?
Éviter les aliments acides ou irritants peut réduire le risque d'inflammation.
Aliments acidesIrritationSialadénite
#4
Les infections buccales augmentent-elles le risque ?
Oui, les infections buccales non traitées peuvent favoriser le développement de sialadénite.
Infections buccalesSialadéniteRisque
#5
Le stress a-t-il un impact ?
Le stress peut affecter la santé buccale et augmenter le risque d'infections salivaires.
StressSanté buccaleInfections salivaires
Traitements
5
#1
Quels traitements sont recommandés ?
Le traitement inclut des antibiotiques, des anti-inflammatoires et des soins locaux.
AntibiotiquesAnti-inflammatoiresSoin local
#2
Les compresses chaudes sont-elles efficaces ?
Oui, les compresses chaudes peuvent soulager la douleur et favoriser l'écoulement salivaire.
Compresses chaudesSoulagement de la douleurSialadénite
#3
Quand faut-il envisager une intervention chirurgicale ?
Une chirurgie peut être nécessaire en cas d'abcès ou d'obstruction persistante.
ChirurgieAbcèsObstruction
#4
Les médicaments en vente libre aident-ils ?
Oui, des analgésiques en vente libre peuvent aider à gérer la douleur.
AnalgésiquesVente libreSialadénite
#5
Faut-il changer son alimentation ?
Une alimentation douce et hydratante est recommandée pour réduire l'irritation.
AlimentationHydratationIrritation
Complications
5
#1
Quelles complications peuvent survenir ?
Les complications incluent l'abcès, la déshydratation et la propagation de l'infection.
ComplicationsAbcèsInfection
#2
L'abcès nécessite-t-il une intervention ?
Oui, un abcès peut nécessiter un drainage chirurgical pour soulager la pression.
AbcèsDrainageChirurgical
#3
Peut-on avoir des séquelles à long terme ?
Des séquelles comme des douleurs chroniques peuvent survenir après une sialadénite sévère.
SéquellesDouleurs chroniquesSialadénite
#4
Y a-t-il un risque de récidive ?
Oui, les personnes ayant eu une sialadénite peuvent être à risque de récidive.
RécidiveSialadéniteRisque
#5
Les infections systémiques sont-elles possibles ?
Oui, une sialadénite non traitée peut entraîner des infections systémiques graves.
Infections systémiquesSialadéniteGraves
Facteurs de risque
5
#1
Quels sont les facteurs de risque principaux ?
Les facteurs incluent la déshydratation, l'âge avancé et les maladies buccales.
DéshydratationÂge avancéMaladies buccales
#2
Les personnes âgées sont-elles plus à risque ?
Oui, les personnes âgées ont un risque accru en raison de la sécheresse buccale fréquente.
Personnes âgéesRisque accruSécheresse buccale
#3
Les maladies auto-immunes augmentent-elles le risque ?
Oui, des maladies comme le syndrome de Sjögren augmentent le risque de sialadénite.
Maladies auto-immunesSyndrome de SjögrenRisque
#4
Le tabagisme est-il un facteur de risque ?
Oui, le tabagisme peut contribuer à la sécheresse buccale et à l'inflammation des glandes.
TabagismeSécheresse buccaleInflammation
#5
Les infections virales jouent-elles un rôle ?
Oui, certaines infections virales, comme les oreillons, peuvent déclencher une sialadénite.
Infections viralesOreillonsSialadénite
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{
"@type": "Question",
"name": "Les infections virales jouent-elles un rôle ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines infections virales, comme les oreillons, peuvent déclencher une sialadénite."
}
}
]
}
]
}
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing, China.
Department of Oral & Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key laboratory of Digital Stomatology, Beijing 100081, China.
Center of Stomatology, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong, China.
Department of Oral & Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key laboratory of Digital Stomatology, Beijing 100081, China.
Center of Stomatology, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong, China.
Department of Oral & Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key laboratory of Digital Stomatology, Beijing 100081, China.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
2022-06-09
Department of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing, China.
Department of Oral & Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key laboratory of Digital Stomatology, Beijing 100081, China.
Department of Oral & Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key laboratory of Digital Stomatology, Beijing 100081, China.
Department of Oral & Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key laboratory of Digital Stomatology, Beijing 100081, China.
Department of Oral Pathology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key laboratory of Digital Stomatology, Beijing 100081, China.
Department of Oral Pathology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key laboratory of Digital Stomatology, Beijing 100081, China.
Department of Oral & Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key laboratory of Digital Stomatology, Beijing 100081, China.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
2022-06-09
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
2022-06-09
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
2022-06-09
Chronic obstructive sialadenitis (COS) is a recurring inflammation of the salivary gland. To date, there are no known predisposing factors for COS. Given the advances seen in radiology and sialendosco...
We prospectively analyzed 333 patients who underwent sialendoscopy between 2012 and 2021. Epidemiologic, radiologic, and sialendoscopy-related factors were correlated. Suspected diagnosis was establis...
The most common etiology of COS was stricture (40.8%). Lack of papilla distensibility (LPD) was also described as an etiology. COS was related to patient gender and age. Submandibular gland involvemen...
In our series, stricture was the most common cause of COS. We describe LPD as a frequent cause of COS in this series; ours is the first study to report this finding. There was a significant associatio...
Chronic sclerosing sialadenitis is commonly regarded as a manifestation of IgG4-related disease. We previously found that a high IgG4 expression or IgG4-related disease could accompany nonspecific sia...
The COVID-19 mainly affects the respiratory system; however, a variety of atypical manifestations of this disease have been also reported. Herein, we report a case of a man in his late 50s with severe...
A young man in his early 20s presented with extraoral swelling on left side of his face, which had been present for a period of 1 month. Intraoral examination revealed an erythematous swelling on the ...
The diagnosis of sialadenitis, the most frequent disease of the salivary glands, is challenging when the symptoms are mild. In such cases, biomarkers can be used as definitive diagnostic indicators. R...
Patients with sialadenitis (n = 46) and control subjects (n = 90) that underwent MRI were selected. Considering that the IDEAL-IQ value is a sensitive fat fractional marker to the body mass index (BMI...
The IDEAL-IQ fat faction of the control and sialadenitis glands were 38.57% and 23.69%, respectively, and the differences were significant. The values were significantly lower in the sialadenitis grou...
The fat fraction marker based on the IDEAL-IQ method was useful as an objective indicator for diagnosing sialadenitis. This marker would aid less-experienced clinicians in diagnosing sialadenitis....
Thymic hyperplasia with lymphoepithelial sialadenitis-like features (LESA-like TH) is a rare form of thymic hyperplasia, characterized by a prominent expansion of the thymic medulla containing hyperpl...
Herein, we present a case report of a 52-year-old Chinese female patient with LESA-like TH, without any discomforting symptoms. Computer-tomography imaging revealed a cystic solid mass in the anterior...
We made a diagnosis of LESA-like TH and performed a literature review to better understand the clinicopathological features of LESA-like TH and reduce misdiagnosis....
Sialendoscopy is a minimally invasive technique for the management of salivary gland disease. This work characterizes its utility for treating chronic sialadenitis due to Sjogren's syndrome and radioa...
A single-center, retrospective review of patients undergoing sialendoscopy between March 2013 and May 2019 for the treatment of chronic sialadenitis due to Sjogren's or prior RAI therapy was performed...
Thirty-four patients with Sjogren's and 25 patients who received RAI were identified, undergoing a total of 86 procedures. Median age at presentation was 53 years with mean follow-up time of 14.3 mont...
These results support the idea that sialendoscopy offers symptomatic benefit for patients with chronic sialadenitis due to Sjogren's or RAI....
The Chronic Obstructive Sialadenitis Symptoms questionnaire (COSS) was created to assess chronic sialadenitis symptoms and treatment response, but its development lacked patient input and validation. ...
We analyzed COSS responses via exploratory factor analysis (EFA) to identify essential symptom domains and reduce overlap in questions. Sialadenitis patients evaluated the significance of index sympto...
EFA of 310 COSS responses demonstrated 3 main symptom domains (functional impact, pain, swelling) that explained 58.4% of response variance. Results were not statistically different when collapsing fr...
We developed the SPIT instrument to improve usability and content validity in chronic sialadenitis evaluation. The psychometric assessment demonstrated high construct validity and test-retest reliabil...
4 Laryngoscope, 133:539-546, 2023....
Immunoglobulin G4-related sialadenitis (IgG4-RS) is an immune-mediated fibro-inflammatory disease and the pathogenesis is still not fully understood. The aim of this study was to explore the role and ...
Salivary gland ultrasonography (SGUS) is commonly employed in the diagnosis and follow-up of patients with Sjögren's syndrome (SS) and multiple scoring systems have been developed to quantify the grad...
One hundred and three SGUS images from 26 SS patients were blindly scored by two investigators according to the De Vita, Salaffi, Milic and OMERACT scoring systems in independent sessions....
The distribution of SGUS images according to De Vita, Salaffi, Milic and OMERACT systems was significantly different. At post-hoc analysis, Milic system performed differently compared to the De Vita (...
Milic scoring system showed to relatively overestimate the grade of sialadenitis compared to De Vita, Salaffi and OMERACT systems. Although all scoring systems seem to be comparable in terms of diagno...