Conservative management of chronic sialadenitis at causa sialolithiasis: A case report

Sialadenitis or sialodenitis refers to inflammation of a salivary gland within either the gland or main duct. Sialadenitis is frequently involved with the submandibular gland. For many years, management of submandibular sialadenitis involved either minimal invasive surgery or more aggressive surgical intervention. The aim of this study is to report on the conservative management of chronic sialadenitis at causa sialolithiasis. A 55-year-old male patient, suffering from eating-related pain and swelling in his left submandibular region, was diagnosed with left submandibular gland sialadenitis and radiologically manifested sialolithiasis. The patient had a history of uncontrolled diabetes mellitus; and three times stones had spontaneously discharged into his mouth during mealtimes. The size of the stones were about 3.0x3.0mm; 5.0x4.0x2.0mm; and 10.0x7.0x3.0mm. Clinical examination showed a large painless and palpable swelling sized 10.0x6.0x0.3mm and weighing 0.4g, firm and non tender mass corresponding to the anatomic location of the submandibular salivary gland. Radiographic examination and chemical analyses of the sialoliths were also carried out. Conservative management included suggesting frequent intake of warm mineral water and sour drinks, routine light massaging around the swollen area of the submandibular gland, and analgesic and antibiotic prophylactics to control pain and swelling. Conservative management recommended for chronic sialadenitis causing sialolithiasis in the left submandibular gland for patient with uncontrolled diabetes mellitus.