• Paired major salivary glands include parotid, submandibular, and sublingual glands
• Minor salivary glands are distributed in the mucosa of the lips, cheeks, hard and soft palate, uvula, floor of mouth, tongue, and peritonsillar region
• Few salivary glands in the nasopharynx, paranasal sinuses, larynx, trachea, bronchi, and lacrimal glands
• Infectious and inflammatory diseases of the salivary glands are common, and frequently involve the major salivary glands, especially the parotids
• Tend to occur in those patients whose overall health is compromised (by poor nutrition, dehydration, altered fluid and electrolyte balance, or immunocompromise)
• Etiologies include:
• S aureus is the most common bacteria in acute bacterial sialoadenitis
• Mumps is the most common viral etiology of sialoadenitis; other etiologies include coxsackievirus A and echovirus
• Mumps primarily affects children and young adults
• Fungal sialoadenitis (usually with actinomycosis) usually follows dental manipulations
• Parapharyngeal edema
• Indurated, enlarged, tender gland
• External pressure on the gland release purulent material from gland opening
• Bilateral swelling and clear salivary secretions suggest viral etiology
Baldwin AJ, Foster ME. Tuberculous parotitis. Br J Oral Maxillofacial Surg.
Brook I. Acute bacterial suppurative parotitis: microbiology and management. J Craniofacial Surg.
Steyer TE. Peritonsillar abscess: diagnosis and treatment. Am Fam Physician.
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