Stone salivary glands. Slunnocameal disease: symptoms and treatment. Stone in salivary gland

Discussion.

Photo 10: Extracted stone

Conclusion

The basic number of cases of salivary disease (80%) are accounted for by the subband and its duct. In 10%, the parole salivary iron is affected and in the remaining 10% - sub-band salivary iron and small salivary glands.

Bilateral defeat or lesion of several glands occurs in less than 3% of cases.

In patients with several salivary stones, education can be located in various places in the course of the duct or in the body of the gland. Stones in the subband salivary gland close to the mouth, tend to increase a strong increase before they show themselves symptomatically. The frequency of the occurrence of Salolithiasis on the right and on the left of about the same.

Typically, the salivary stones are sizes from 1 mm to 1 cm. Giant salivary stones are formation of more than 1.5 cm, the data on which in the medical literature is quite rare. Giant stones are more than 3 cm - an extremely rare case described only a few times.

Description of the clinical case.

In 2010, a 53-year-old man appealed to the department of maxillofacial surgery with complaints of volumetric, solid education at the bottom of the oral cavity under the left. From the anamnesis it is found that the patient has a swelling that has appeared to meals. The history of illness without features.

In case of inspection and bimanual palpation, it is found that swelling belongs to the left subband salivary gland and is dense and movable (photo 1). The bottom of the oral cavity is swelling. A large calcified mass (photo 2) was revealed to the ODG (photo 2). CT shows the obturation of the duct of the subbands with a decision with dimensions 3.32 x 1.14 cm (photo 3, 4 and 5). In the biochemical analysis of blood, the indicators are normal.

Photo 1: Education in the sub-band area on the left

Photo 2: HCG with massive x-ray-contrast education

Photo 3A 3B 3C, 4 and 5: CT, demonstrating the size and localization of the stone

Under local anesthesia, the stone was removed through a cut at the bottom of the oral cavity (photo 6.7). The concretion was yellowish, oval shape with a rough and uneven surface (photo 8). A polyethylene tube was introduced into the case of the cut. The edges of the wound wound (photo 9). The seams and drainage were removed after 2 weeks.

Photo 6 and 7: dissection of the bottom of the oral cavity and the extraction of stone

Photo 8: The extracted stone was yellow, oval shape, had a rough and uneven surface

Photo 9: short polyethylene tube

Discussion.

Salus with a current against gravity strength has a more alkaline reaction and contains more Ca ions and mucin, which can explain the predominant formation of stones in the subsidiary gland.

Accurate etiology and pathogenesis are still unknown. Somewhat more often, pathology amazes men at the age of 40. Patients impose complaints of pain, discomfort and swelling before and during food intake. In such cases, the bimanual massage of the affected gland with inspection of the distinguished saliva should be. Stone is often located in the excretory protocol of Kepesed. Such characteristics are caused by the expressed pain syndrome. The concretion in the subband salivary gland in 80-94.7% of cases is x-ray-contrast. In addition to the radiological methods of the survey, it is also recommended to use ultrasound, which allow you to detect 90% of all formations with dimensions of more than 2 mm. When small stones are found, the most informative way is CT. It is very useful to serve as an organized criminal group. With small x-ray-contrast formations, the contrasting sialography is a selection study, although the movement of the stone towards the gland is sometimes not avoided.

Photo 10: Extracted stone

Despite the fact that Silyolithiasis can be both in the scene itself and in the duct, the detection of large stones is more than 3 cm is rare. In the given situation, the stone completely occupied the duct. An analysis of the literature discovered only 16 clinical cases with stones of more than 3.5 cm.

Concrections are usually oval or round shape, yellowish color with a smooth or rough surface. The composition of calcium phosphate with small amounts of hydroxyapatite, magnesium, potassium and nitrogen connections is found. Logging stones of salivary glands are usually extracted surgically through extrepotion or inner access. Surgical extraction is shown only when the localization of the stone in the excretory protocol. In the case of localization of education in the body, the gland is carried out fragmentation or endoscopic laser lithotripsy. This treatment is made several times. After removing the stone, the scintigraphic study shows the functional reduction of the gland. In some cases, the complete removal of the gland is shown.

New developments in the treatment of pathology are promising. The non-invasive techniques, such as ultrasound lithotripsy, the use of baskets for extracting stones and endoscopic laser technologies are being introduced.

When considering 4,691 cases, the use of microchrips and baskets for the extraction of stones less than 5 mm and the extracorporal lithotripsy for fixed stones of the parole salivary gland is less than 7 mm in diameter.

Conclusion

This article describes a rare clinical case of the formation of a large stone of salivary gland, which was possible to avoid with early diagnosis and appropriate treatment. After diagnosis, measures should be taken to extract education with the minimum possible invasiveness of the procedure.

Slunnocameal disease is a pathological process in which in the salivary gland - usually in a duct, less often in the parenchyma - a dense mineral formation is formed - Saltolite, it is also a concrete. Its composition is close to the composition of the dental stone, sizes can vary from several millimeters to several centimeters. Their appearance man usually does not notice until the stone increases in size so much that he overlaps the lumen of the salivary gland, it leads to severe pain.

The choice of treatment is medication or operational - depends on the stage of the process, stone sizes in the duct of salivary gland, its accurate location and other circumstances.

Causes of appearance

The exact mechanism of the formation of saliva science is not yet explained. However, doctors identified a number of pathogenic factors that can lead to salivinal disease.

The causes of the appearance of stones in the salivary gland can be:

avitinosis (especially vitamin A lack);
violations in the exchange of phosphorus and calcium;
urolithiasis disease;
hyperparathyroidism;
hypervitaminosis D;
gout;
diabetes;
hit in a foreign body duct (solid particle food, teeth fragment, etc.);
pathology of ducts;
mechanical injuries;
the consequences of wearing crowns.

A combination of several reasons leads to this rather rare disease. Additional aggly factor serve bad habitsEspecially smoking, insufficient level of hygiene of the oral cavity, etc.

means to reduce pressure;
diuretic;
psychotropic;
antihistamines.

Directly to the formation of a stone leads to flushing from saliva minerals, deterioration of its properties, as well as a shift of acid-alkaline balance towards alkalis (which explains the constant unpleasant taste in the mouth). In combination with a narrowing of the lumen of the duct, this leads to closer to its thick mass, prone to solidification: it is formed a stone in salivary gland.

Stone composition and location options

The stones of the salivary glands are dense formation of a yellowish-white or yellow shape, with a buggy surface. The composition is mineral and organic. The kernel can be one of two types: either microbial nature, which is a colony of special bacteria - actinomycetes, or is a listened and buried epithelium and / or some kind of foreign body that fell into the duct.

Around the foreign body - a debris of the tooth, fish bones, which fell there during meals, hairs from a toothbrush, etc. - gradually growing a layer of organic and inorganic sediments, turning into a complex natural composite. Organic in it can be up to 30%, mainly particles of epithelium, mucin and amino acids. Inorganic components can be:

calcium salts;
sodium;
magnesium;
potassium;
iron;
chlorine, etc.

In the case of a bacterial nucleus, everything is somewhat more complicated. Large stone in the battery duct is always accompanied by an infection and an inflammatory process, but the question that was the root cause - infection or stone formation - remains open.

Please note: the mass of solid education can vary from 3 to 30 g, and over time, the stones are inclined to increase.

Slyunokamnaya disease that has come down to the stage of the inflammatory process, is called salolithiasis. The stones of the salivary glands are most common in the lifting gland, about 8 cases from the hundred - in the parole, and very rarely - under the tongue and in small salivary glands - lip, peels, etc. The disease may have an acute and chronic form.

Symptomatics

The formation of a stone in the parenchyma patient usually does not notice until it is completely overlapped. After that, pain people may occur, sharp, but in the form of short-term attacks - t. N. salivary colic. The attack can last about 20 minutes.

Symptoms of stones in salivary gland differ from the nature of the disease - whether it flows in a sharp or chronic form. Acute form implies a pronounced pain syndrome, seizures of colic, as well as the following symptoms and consequences:

sensation of cutting in the part of the oral cavity, where a stone was formed;
frequent pain when receiving food;
an unpleasant taste in the mouth;
the appearance of abscess or phlegmons in the oral cavity;
soreness when pressing and / or palpation;
an increase in body temperature up to 37.5 degrees;
general weakness;
headaches;
opening the entrance to the salivary channel with highlighting of the pus;
very small saliva, dry mucous membranes.

In Si'olithiasis, it is painfully moving the jaw during meals. It is painful to swallow, and the pain is given to the ear or temple area, as well as in the throat and in the language (in the sialolyiasis of the submandibular gland).

Please note: the acute form of the disease can develop for several hours. Especially severe pain occurs if the stone itself comes out of the gland in soft tissues.

In chronic form, the stone in the battery duct can not produce itself, except for the following signs: the edema of the neck and face, the constant voltage of the facial muscles, as well as swelling in the area of \u200b\u200bthe affected gland caused by the fact that it increases in size. The pain as a symptom in chronic form can be expressed weakly or not appear at all.

Diagnostics

Slyunokamnaya disease should be differentiated from other diseases of the oral cavity, causing similar symptoms (increase in temperature, swallowing pain, swelling). It can be:

various tumors of the oral cavity;
occochelastic phlegmon;
lymphadenitis;
abscess.

The diagnosis of stone in the dental of the salivary gland is carried out by a dentist, in the case of its absence, a general practice doctor. The first stage is the visual inspection and palpation - in some cases, the stone can be seen either when taking it to determine its location. It is amenable to visual detection of the gaping salivary channel and the gas released from it.

If the stone does not seem to be able to visually, then the diagnostic methods will depend on the form and stage of the disease. Most often appointed research:

radiography;
sialography;
sialoscopy;
Ultrasound salivary glands;
biochemical analysis;
cT scan.

The choice of a specific complex of research and diagnostic measures remains at the discretion of the doctor. Much depends on the location of the Saliolite dislocation, the speed at which it is necessary to obtain data, the necessary accuracy and diagnosis of possible concomitant diseases.

So, if there is no disease in chronic form and pain there is no pain syndrome, then the doctor can with the help of a special probe to study the salivary channel, determine the size of the mouth and the depth of Saliolithic. If the stage is acute, then the complex of diagnostic tools from x-ray and sialography is used (contrast x-rays), as well as ultrasound. In more complex cases, if the X-ray image turns out to be little useful, a computer tomograph comes into business.

To install the character of the inflammatory process, the saliva cytogram is used, as well as a general biochemical analysis.

The average cost of ultrasound of the salivary glands in Moscow is 1200 p, the X-ray of the oral cavity is 1250 p.

Methods of treatment of salivinal disease

Options for treating salivinal disease will depend on what the methods of diagnosis will be shown. In some cases, the removal of stone from the salivary gland by the doctor may not need: small, up to 2-3 mm, the concrections can be washed out of the ducts of saliva.

The treatment of siliacolysis can be both conservative - drug and operational. The general case may imply and combine two methods, especially if there are several concrections (approximately 25% of all situations). With the help of surgical intervention, the removal of large stone from the salivary gland is removed, and small-dimensional methods are achieved by drugs. This method can be applied to not expand the wound over the necessary one.

Drug treatment is used for pain relief and relieving the inflammatory process.

Conservative methods

The treatment of stone in the salivary drugs with drugs has two directions: the first contributes to a decrease in pain syndrome and the treatment of the inflammatory process, and the second implies the intake of saliva drugs, which cause abundant saliva selection and washing the solid concreters. Thus, the following drugs are used:

Among the latter can be noted Kanefron, potassium iodide, hydrochloride pylocarpine.

Also the patient is additionally assigned a diet that promotes strengthening the secretion of the salivary glands. It consists of acidic products that themselves have elevated saliva properties and normalize the acid-alkaline balance, which is shot down in the alkali-sialiasis. Some acids (for example, lemon) have the ability to destroy Salolithic.

The patient must be included in the diet a large amount of beets, sauerkraut, patissons and cranberries. You can drink a decoction of rose robber or grass arid, dissolve the lemon slicing, rinse the mouth with salt and soda.

To stimulate the destruction and removal of the concrete with saliva, the doctor can use the impact on the affected glare weak discharges of electric flow, which do not affect the entire body.

Surgical methods

The easiest surgical method is to extract the accretions by tweezers if they are at the mouth of the channel. Lithotripsy is also used - this crushing stone with ultrasound.

If it came to inflammation and abscess, then an operation is prescribed under local anesthesia, during which the abscesses are opened and clean, install drainage and remove the stone. The wound is not sewn.

In case of detection of serious pathology of the salivary gland, it is removed - extirpation.

Inflammatory processes in salivary glands appear infrequently, however, it is quite difficult and pose a danger to further livelihoods. Often the cause of the defeat of this region is the stones of "stones", which are clogged with output duct and cause stagnation of fluids. In this case, doctors diagnose "Si'olithiaz" and choose a conservative or operational method of treatment.

In the article, we learn what reasons are the appearance of stones, what symptoms is accompanied by and how the process of treatment in the hospital or at home passes.

Salolyaz - This is a notch caused by the appearance of so-called "stones" in the salivary channel, which differ in size and structure.

The smallest formations can only be seen under the microscope, and large can reach the sizes of chicken egg.

Slutnocamean disease

By the way, the person has three pairs of salivary glasses, located under the jaw, under the tongue and in the area of \u200b\u200bthe Ear. In addition to these large channels, there are also small (peeled, luminous, etc.), which also produce a secret.

Unfortunately, a reliable response about the occurrence of formations in ducts does not give medicine. But, of course, external or internal factors are favorable for this process:

dysfunction of glands, their defeat;
genetic or congenital structure of the jaw (individuals in general), due to which the secret accumulates and is stirred in the ducts, contributing to the occurrence of precipitation and natural deposits;
avitaminosis and hypovitaminosis (in this case a shortage in the body of vitamins of group A);
pathologically increased blood coagulation;
mechanical injuries (blow, injury, ingress of foreign objects, dislocation or fracture of jaws, injury by destroyed teeth, crowns or prostheses) in the location of the salivary glands and ducts;
violation of metabolism (calcium exchange is influenced by the occurrence of pathology);
inflammatory processes, purulent infection in the area of \u200b\u200bthe glands (for example, abscess, cyst, granuloma).

We can conclude that any violation of the functioning of the ducts causes a stagnation of secrecy. The natural process is the selection of salts, which are knocked in breasts, forming these stones.

Also, every new education aggravates the disease. Little stones are easily washed out by a secret to the oral cavity, and large opposite create a "tube" in the channel, collecting an increasing and more salts on its surface.

Symptomatics of the disease

The treatment of stones in salivary gland depends on the symptoms, the stage of the disease and the magnitude of the formations themselves.

The most characteristic symptom for Salolithiasis is the pitiff of the face in the neck, ears and jaws

The most characteristic symptom for this disease is the pitf clip in the area of \u200b\u200bthe neck, ears and jaws. This is caused by the blockage of the channels and stagnate liquids. A person himself can determine the area where a stone was formed - it was there that the swelling will be expressed most commonly, remind a painful bump.

Patient is discomfort while trying to open the mouthTherefore, food intakes and ordinary communication brings unpleasant sensations. The patient literally feels like each jaw muscle strains to implement ordinary actions. If the stones have achieved large sizes, then the patient's diet turns under the threat, because it can hardly smell his jaws.

All these processes are accompanied by tension and soreness in the oral cavity, as well as in the field of cheeks, ears, jaws.

The mouth of the cavity during Salolithiasis heavily dries and begins to crack, as the secret is almost not produced.

The stress in the face and cheeks leads to the fact that they blush and can resemble another disease.

If the salivinal disease (photo below) does not start treated at these stages, the development of infection and the appearance of purulent processes in the channels is possible. Against the background of inflammation, the patient's condition deteriorates, hyperthermia appears, the decline of forces. Also, the patient loses appetite, sleeps poorly and complains of periodic headaches. If the inflammation has shutdled to the parole ducts, the uches of the ears are shuffled under an unusual angle.

Diagnosis of Salolyiaza

The inflammatory process is also accompanied by a change in the composition of the secret itself, the appearance of pus and other pathological fluids in it. The patient subjectively notices an unpleasant taste and smell of mouth.

Diagnosis of Salolyiaza

Unfortunately, the patient does not immediately understand the cause of pain and edema in the field of ears, jaws or persons, writing symptoms on ENT disease, dental and orthopedic pathologies. Some even prescribe treatment on the basis of symptoms, tightening the campaign to the therapist.

At the reception at a qualified doctor, radiography is immediately appointedthat will allow you to see foreign education in the ducts. The doctor also conducts a comprehensive patient's survey, collects anamnesis, examines the inflamed area by palpation. In many cases, a professional can add a stone and immediately diagnose: Si'olithiasis.

If X-ray reliably showed the presence of foreign objects in the duct, however, the patient confidently complains about low saliva and pain in the neck or jaw, it can be assigned an x-ray of the ducts using a contrast agent. The doctor introduces an iodine-based preparation into the gland channel, which will allow you to see the detailed structure of the duct and the location of the stone.

Also a modern way to detect stone in salivary gland (photo below) is an ultrasound research. It will help accurately determine the size of education, the depth of it.

Slyunokamnaya Disease (Salolithiasis)

In rare cases, CT salivary glands is assigned.

Treatment of Salolithiasis with the help of classical medicine

After the diagnosis and reliable determination of the disease, the doctor establishes its stage, the size of the stone and selects the effective and operational method of treatment.

As a rule, conservative methods (drug therapy) or surgical intervention (iron surgery) are used to treat silolithiasis. In some cases, a comprehensive combination of these methods is necessary.

Conservative therapy implies the prescription of the course of antibacterial and anti-inflammatory medicines (taking inside). Unpleasant painful sensations can be attenuated by means of anesthetic preparations of moderate action. The rinsing of the oral cavity by antiseptic and healing solutions also take place in medical practice, especially when it comes to purulent processes.

Surgical removal of stone

In some symptoms of stone in the salivary gland, treatment of physiotherapy treatments: massages, hirudotherapy, electrophoresis, ozonation, etc.

Unfortunately, if the disease has reached a heavy stage or also developed to a chronic form, the treatment implies surgical intervention.

At this stage, effective results show the removal of stones under infiltration anesthesia. This type of anesthesia implies the introduction of a weak novel solution (1%) into soft tissue of the oral cavity. The dosage is up to 5 ml. Before the introduction of an anesthetic doctor probes the cavity of the gland, reaching a stone probe. With each movement of the device, the doctor makes small cuts until the moment until the stone is clearly visible. Next, the surgeon imposes a medical seam. Removal of education occurs with the help of a special spoon of "Cureti", after which the seam is removed and a graduate from fabric or rubber is installed.

With severe cases of Salolytiasis, the doctor cannot effectively remove the stone (this happens with the submandibular iron). In this case, an extirpation of the gland is assigned (removal of a part of the duct along with a stone).

Is it possible to remove stones at home

Doctors are skeptical to attempts to independently remove formations in salivary ducts, be it methods for the "breaking" of stones through the outer walls or the use of folk drugs for dissolving them.

The experience of patients shows that some symptoms of salivamental disease can be treated with folk remedies, even if not completely.

The most efficient and common method, of course, is the rinse of the oral cavity with a salt-soda solution. To do this, dissolve on one teaspoon of food soda and extra salts in 200 ml of warm liquid. For disinfecting actions, you can also drop into a solution a little iodine. Rinse your mouth with this means follows 3-4 times a day. To enhance the effect, you can apply compresses in the area where you feel discomfort.

Salo Soda Solution - People's Treatment Treatment of Salolyiasis

Popular practice shows that "wash" small stones are possible with the help of herbal decoctions (for example, collecting from Sage, linden, oak bark, chamomile, mint or eucalyptus).

Some patients discovered the healing effect of aromatherapy during the treatment of Sihalithiasis. It is believed that inhalation of steams of oils of some plants (mint, eucalyptus, needles, aloe, etc.) will help to clean the salivary glands.

Even if you have seen the dependence of improving the state with the use of folk recipes, confirm the recovery at the doctor's reception. Sometimes regular rinsing and truth help remove microscopic stones.

However, if the process started, and the lifestyle did not change, then larger formations may soon emerge, which will require immediate surgical treatment.

To prevent the development of complications or the transition of the disease in a chronic form, do not postpone the campaign to the therapist or dentist.

Stones of salivary glands or Saliolithic is the most frequent pathology of the salivary gland. The inflammation of the salivary gland as a result of the disruption of the outflow of saliva, infection and inflammation of the tissues of the gland at a salivamental disease or a siliacolyiasis is called calculous systenitis. This disease is treated with dentists, and in severe cases, when surgical treatment is required, maxillofacial surgeons. But the primary diagnosis of Salolyaza is usually raised by therapists.

Saliolithic - stones of the salivary glands.

Salolithiasis - Slyunokna disease.

Calculse Xialadenit - inflammation of the salivary gland at a salivamental disease.

Three pairs of large salivary glands are opened in the oral cavity: easy, submandibular and sublard. In addition, small salivary glands produce saliva: lip, brushed, paternal, roaming, glands of the oral cavity. Their size is only up to a few millimeters, and the location does not have accurate anatomical binding.

The most famous of the salivary glands is the parole, lat. Glandula Parotidea, a sharp viral disease of which in children is called a vapor or a pig. In the near-surcharge, like an approaching gland, stones almost never happen. But the submandibular iron is the main stone-forming factory at a salivamental disease. This is probably due to the ascending arrangement of the graft of the submandibular salivary gland.

Stones of salivary glands. The reasons.

In children and young people, Salolithiasis almost does not occur, and on the chemical composition of the stones of the salivary glands in more than 90% are salts of calcium - phosphates and carbonates. This indicates the leading role of exchange violations in the development of a salivamental disease. Equally important importance is chronic infectious diseases of the oral cavity and LOR organs: caries, chronic diseases of the gum, mouth, chronic, diseases of the oral mucosa, etc. contribute to the rock formation of hypovitaminosis, and in some cases an anomaly of the structure of the salivary glands and their ducts.

Symptoms of inflammation of salivary gland

First appear signs of violation of saliva outflow. During meals, when the saliva is the maximum, and the stone completely or partially clogs the salivary duct, the painful feeling of resulsion appears with an increase in the size of the submandibular gland, which can be confused with the inflammation of the lymph node. This is the so-called "salivary colic" - an acute attack of pain associated with the delay of saliva and mechanical irritation of duct with a stone. In the future, there are pain when swallowing with irradiation in the ear or throat, increasing during meals. With a large stone size, it can be fascinated or even see in the field of duct of salivary gland.

The aggravation of Xialadenit is accompanied by general intoxication, increasing body temperature, headache. The appetite is sharply reduced, and even the thoughts about food increase pain. Often there is a unpleasant taste in the mouth, and in the mouth of the pus, in the mouth in the mouth.

Diagnosis of salivamental disease

With differential diagnostics, the cyst of the salivary gland, the tumor of the salivary gland - adenoma and cancer of the salivary gland, as well as diseases of the ear, throat and teeth, should be excluded. Symptoms of inflammation at a salivamental disease are characteristic, it is often possible to grope through the skin or see the stone. But the final confirmation of the diagnosis is given x-ray or ultrasound of the salivary glands.

Treatment of Salolyiaza

With early diagnosis and uncomplicated course, the stone is removed from the duct outpatient with a tweezers. Sometimes to extract the stone requires dissection of salivary duct. Non-steroidal anti-inflammatory drugs, antibiotics, dry heat are prescribed from conservative methods.

If the stone is large sizes and is located in the salivary gland or in the depth of the duct, as well as in the case of the development of purulent complications - abscess or phlegmon, is shown operational treatment with the removal of stone, and in some cases, complete removal of salivary gland is shown.

It is hardly familiar to many such a disease as Salolithiasis (salivinal disease). This is an extremely unpleasant condition that can be removed without treatment. Therefore, it is important to know the first signs of inflammation to be able to react to the problem on time.

Salolithiasis (salivinal disease) is an inflammatory process in the tissues of the salivary glands, which causes their dysfunction. The disease is most often diagnosed in men up to 45 years. Extremely rarely salivinal disease occurs in children.

In a healthy person, there are three pairs of salivary glands: the near-wing, subbands and lifting. Also in the oral cavity there are minor glands intended for the selection of saliva: lip, peels and many others. Stones can be formed both in the body of the gland and in the output ducts. Sizes of stones are different. Some patients do not notice microscopic particles, others suffer from large clusters.

In Si'olithiasis, the submandibular glands are often blocked, much less often - the parole. Subject glands are affected in extreme cases. Stagnation saliva in the ducts can cause a failed fare. During this period, salts are settled by forming microscopic stones first, which over time increase and can completely overlap the duct. Slying stones include phosphates and calcium carbonates, sometimes sodium, magnesium, potassium and iron salts.

Stones in salivary glands can grow both slowly and very quickly, so it is impossible to diagnose the diagnosis of the progression of the disease. In some cases, the magnitude of the stones during Si'olithiase reaches the size of the chicken egg.

Causes of Salolyiasis

The exact reasons for the formation of stones in the ducts of the salivary glands are unknown. Medicine only identifies the factors that contribute to the development of pathology.

Slunnocameal disease arises due to:

Mechanical effect on salivary glands (injuries from teeth and).
Inflammation squeezes the ducts where the pathological microflora accumulates, and the pus occurs. Over time, stones increase significantly. Inflammations are often affected by submandibular and sublinging glands.
Anomalous structure of salivary glands and ducts.
Calcium metabolism disorder.
Hypovitaminosis, avitaminosis.
Accelerated blood coagulation.
Finding a foreign object in the duct. Around the body, bacteria are actively multiplied by forming a stone.

These factors can lead to stabbing and to focus its components with further blockage of ducts and blocking the conductivity of saliva into the oral cavity. Sometimes the cause of the salivinal disease becomes the impact of foreign bodies. Toothbrushes, bacteria, salt crystals - these elements can cause blockage of gland ducts. Finding into the duct, they quickly turn the salt layers, which are contained in saliva.

The reasons for Salolyaza include infectious diseases. The blockage of the duct of the salivary gland can occur at the stage of active treatment of tuberculosis, syphilis, vapotitis and fungus.

Symptoms of salivinal disease

At the early stage of Salolithiasis, symptoms are often absent. In rare cases, the swelling in the area of \u200b\u200bthe gland or light tingling pain occurs almost immediately. It is noteworthy that discomfort is enhanced during food intake. When palpation, you can add only large stones. With the development of illness, discomfort and pain intensify and participate. This signals the beginning of purulent inflammation. As a rule, the temperature sharply rises.

The main symptom of Salolyiatiasis will be the swelling of the face and neck. Since salivary ducts are cleaned, saliva accumulates. When stones are harvested in near-dry glasses, swelling is localized mainly near the ears. The inflammation of the near-dry glands causes the outflow of the ear of the ear.

Patients complain about discomfort when chewing and swallowing, it becomes difficult to open your mouth. This is due to the fact that affected muscles involved in these actions. Some patients with salivinal disease becomes difficult to talk.

In a state of rest, pain in the cheeks and the oral cavity are possible. Due to the weak selection of saliva, there are unpleasant sensations in the mouth, the feeling of dryness and discomfort increases, an unpleasant taste appears in the language. In some cases, you can see the redness of the face and neck.

When the disease passes into the stage of purulent inflammation, the general state is deteriorating. The patient increases the body temperature, headaches and weakness occur. Symptoms increase when a stone gets into the oral cavity. In this case, almost full of stagnation is formed, saliva cannot wash the mouth, causing the strongest discomfort. Patients experience painting pain in swallowing and in the process of conversation, a strong feeling of dryness, chills and signs of inflammation.

Diagnosis of salivinal disease

If Salolithiasis suggests, it is necessary to refer to the therapist or dentist. Only an experienced specialist can be installed. In this case, the correct sighted inspection is very important. Visual inspection helps the doctor to determine the size of the salivary glands and compare them with normal.

After inspection, the doctor must palpate face and neck. When feeling you can reveal large stones that interfere with salivation. If a pain occurs during palpation and a dense consistency in the gland is felt, the Si'olithiasis can be suspected.

Additionally, it is possible to carry out the sialography - x-ray of the salivary gland with a contrast agent. Preparations containing iodine are introduced into the graf ductures, thanks to which you can see the structure of the ducts and glands, as well as foreign objects. Stones look like empty areas in the mass of contrast. X-ray pictures in Si'ololyiase help to identify high density stones, but with small mineralization stones are poorly visible.

In some cases, it is resorted to ultrasound scanning. This method allows you to set the exact location of the stone before it is removed. Ultrasound is shown at the deep location of the stones in the ducts. Sometimes for these purposes resort to tomography of salivary glands. Biochemical analysis of saliva helps in diagnostics.

When suspected of salivinal disease, a differential diagnosis should be carried out. It is very important to distinguish stones in salivary glands from tumors, phlegmon, phlebolitis and purulent abscesses. Also, the silolithiasis may be similar to (inflammation of lymph nodes). Even with easy discomfort, contact the doctor. Conduct treatment at an early stage much easier than to cure the launched Si'olithiasis.

How to cure a salivinal disease

Treatment of Salolithiasis is necessarily. Therapy is aimed at removing stone from the duct and restoring normal salivation. Easy cases of pathology are amenable to drug treatment, but in severe cases it is necessary to surgically remove stones.

Purulent inflammation requires admission of anti-inflammatory and painkillers. Mandatory course of antibiotics. They are introduced directly in the duct of the gland together with anesthetics.

Medical treatment of Salolithiasis:

Dissolving stones without interference in salivary glands. The introduction of citric acid solution in the duct for two weeks.
Antibiotic therapy. Streptomycin, Novocaine blockade with penicillin.
Additional treatment of urolithiasis. Kanefron.

Often, at Salolyiasis, physiotics are prescribed. You can influence the results of treatment with a saliva diet. It is based on the use of a large amount of lemon juice, cabbage and products that increase salivation. Stimulation of saliva production helps to clean the ducts naturally.

Surgery

When prescribing treatment, the doctor must take into account the stage of salivinal disease and the presence of complications. With the exacerbation of Salolithiasis, the only treatment option is surgical removal of stones. In some cases, the doctor is limited by a cut in an abscess site to strengthen the exudate outflow and give stone the opportunity to exit on its own.

Chronic salivinal disease is subject to surgical treatment in outpatient conditions only under the condition that the stones are located in the front of the output. The operation is complicated if the stones clocked the lower jaw or the upper grades of the glands.

Remove stones at home can not: This requires special equipment. The procedure is carried out under local anesthesia. The doctor (usually dentist) probes the dockets to detect stones. Then he makes an incision and with the help of a special container-cureti removes stones.

After removing the stones from the ducts of the salivary glands, the seams do not impose. The walls of the duct quickly overshadow, forming a new mouth for saliva removal. Extremely rare patients with Salolyatiasis requires removal of salivary gland.

During the rehabilitation period, it is important to normalize the work of the glands and restore salivation. After the operation, you need to conduct anti-inflammatory therapy.

If it is not possible to safely remove stones, prescribe an extirpation of the gland (complete deletion). This is a radical treatment method that is prescribed only in extreme cases: the removal of the gland entails a violation of the microflora of the mouth and, accordingly, the destruction of the teeth. Without constant mouth care, this significantly reduces the quality of human life.

Treatment at home

The use of any folk remedy for salivinal disease should be approved by the doctor. Often the possibilities of traditional medicine are used for prevention or as additional therapy. However, it is impossible to limit oneself to homemade means in the treatment of Sihalithiasis.

Many recommend a rinse with Drug herbs. Often, at a salivinal disease, a mixture of sage, chamomile and eucalyptus is prescribed, but an experienced doctor may pick up an individual and more effective grasses for a particular case.

Folk recipes from Salolithiasis:

Mix on a teaspoon of honey and olive oil, a novocainam ampoule and chicken egg. Thoroughly stir and lubricate inflamed areas in the oral cavity 3-4 times a day. Repeat within a week.
Take the tincture of Boligolov: one drop to breakfast on the first day, two in the second and so to thirty drops, then cut the dose to one drop.
Pharmaceutical tincture of Echinacea mix with boiled water (1: 1). Put compresses on inflamed areas with this solution.

In Salolyiasis, you can practice aromatherapy. Inhalation of the vapors of essential oils helps to clean the ducts of the salivary glands from small stones. Eucalyptus and needles are suitable for these purposes. It must be remembered that without medication and surgical treatment it is impossible to achieve complete recovery. Aromatherapy and other funds of traditional medicine can only be considered in the complex with official drugs.

Timely diagnostics avoids complications and restore the health of the salivary glands. If discomfort in the area occurs, you need to immediately contact the doctor. Salolithiasis at an early stage is well amenable to drug treatment, without causing a deterioration in the general condition of the patient.

Salolithiaz complications

When removing stones from the ducts of the salivary gland, the doctor may injure the facial nerve by causing the most unpleasant consequences. The operation may end to the formation of salivary outer fistulas.

There is a risk of abscesses of soft tissues that surround a stone, but with timely treatment, the forecast is always favorable. The recurrences of the salivinal disease occur extremely rarely.

Preventive measures

To never suffer from salivinal disease, you need to eliminate factors that can provoke the formation of stones in the ducts. It is impossible to disrupt mineral and vitamin metabolism. Refusal of bad habits will benefit from all organism systems.

To avoid anomalies of the building of the salivary glands, you must be taken from injuries. It is very important to comply with the rules of hygiene of the oral cavity and carefully choose a toothbrush. Prevention of salivinal disease helps to avoid the removal of the gland, which entails strong discomfort. Timely appeal to the doctor is the key to the successful treatment of almost any disease.