Obstructive and inflammatory diseases of the salivary glands can have a congenital, traumatic, metabolic, or infectious-inflammatory cause. The acute inflammatory conditions include bacterial and viral infections, and the chronic conditions include sialoliths, strictures, chronic sialadenitis, sialectasis, and lymphoepithelial disease. The neoplastic diseases can cause obstruction and/or infection and often make the diagnosis elusive. In addition to a working knowledge of possible etiology, one needs experience with clinical examination, salivary analysis, sialography, CT scans, MRI, and fine-needle aspiration and cytology in order successfully to evaluate and manage patients with these conditions.
Get full access to this article
View all access options for this article.
References
1.
AbramsG. L.MelroseR. J.HowellF. V. (1973): Necrotizing Sialometaplasia. A Disease Simulating Malignancy, Cancer. 33: 130.
2.
BatsakisJ. G. (1979): Non-neoplastic Diseases of the Salivary Glands. In: Tumors of the Head and Neck—Clinical and Pathological Considerations, 2nd ed., BatsakisJ. G., Ed., Baltimore: Williams and Wilkins Co., pp. 100–120.
3.
BeahrsO. H.WoolnerL. B. (1969): Surgical Treatment of Diseases of Salivary Glands, J Oral Surg. 27: 120–128.
4.
BergJ. W.HutterR. V. P.FooteF. W. (1968): The Unique Association between Salivary Gland Cancer and Breast Cancer, J Am Med Assoc. 204: 771.
5.
CalcaterraT. C.HemenwayG.HansenG. C.HanafeeW. N. (1977): The Value of Sialography in the Diagnosis of Parotid Tumors, Arch Otol. 103: 727.
6.
CanalisR. F.HemenwayW. G.RiceD. H. (1985): Benign Neoplasms of the Salivary Glands. In: Otolaryngology, Vol. 5, EnglishG., Ed., Philadelphia: Harper and Row., Chap. 30: pp. 1–27.
7.
ConleyJ.ArenaS. (1963): Parotid Gland as a Focus of Metastasis, Arch Surg. 87: 757.
8.
EvesonJ. W. (1985): Salivary Gland Tumors. A Review of 2410 Cases with Particular Reference to Histologic Types, Site, Age, Sex Distribution, J Pathol. 146: 51–58.
9.
GatesG. A. (1977): Sialography and Scanning of the Salivary Glands, Otol Clin North Am. 10: 379–390.
10.
GillG. (1977): Metabolic and Endocrine Influences on the Salivary Glands, Otol Clin North Am. 10: 363–369.
11.
IsacssonG. (1984): Salivary Calculi and Chronic Sialadenitis of the Submandibular Gland: A Radiographic and Histologic Study, Oral Sura, Med Pathol. 58: 622–627,.
12.
KushnerD. C.WeberA. L. (1978): Sialography of Salivary Gland Tumors with Fluoroscopy and Tomography, Am J Roentgenol. 130: 941–944.
13.
LubatE. (1985): Gallium-67-citrate Accumulation in Parotid and Submandibular Glands in Sarcoidosis, Clin Nucl Med. 10: 593.
14.
MandelL. (1976): Inflammatory Disorders. In: Disease of the Salivary Glands, RankowR.PolayesI., Eds., Philadelphia: W. B. Saunders Co., pp. 202–228.
15.
MasonD. K.ChisholmD. M. (1975). Salivary Glands in Health and Disease. Philadelphia: W. B. Saunders Co.
16.
McClatcheyK. D. (1985): Histopathology and Diagnosis of Nonneoplastic Salivary Gland Tumors. In: Otolaryngology, Vol. 5, EnglishG., Ed., Philadelphia: Harper and Row., Chap. 32: pp 1–12.
17.
MeineF. J.WoloshinH. J. (1970): Radiologic Diagnosis of Salivary Gland Tumors, Radiol Clin N A. 8: 475–485.
18.
NoyekA.ZizmorJ.MusumeciR. (1977): The Radiologic Diagnosis of Malignant Tumors of the Salivary Glands, J Otol. 103: 727.
19.
OlsonN. R. (1977): Traumatic Lesions of the Salivary Glands, Otol Clin North Am. 10: 345–350.
20.
ParisierS. C.BinderW. J.BlitzerA.FriedmanW. H.MarovitzW. (1978): Evaluation of Tympanic Neurectomy and Chorda Tympanectomy for Gustatory Sweating and Benign Salivary Gland Disease, Ear Nose Throat J. 57: 213–225.
21.
PullonP. A.MillerA. S. (1972): Sialolithiasis of Accessory Salivary Gland: Review of 55 Cases, J Oral Surg. 30: 832–834.
22.
RauchS.GorlinR. J. (1970). Thoma's Oral Pathology, Vol. 2, St. Louis: C. V. Mosby Co.
23.
RiceD. H.HemenwayW. G.CanalisR. F. (1985): Malignant Neoplasms of Salivary Glands. In: Otolaryngology, Vol. 5, EnglishG., Ed., Philadelphia: Harper and Row, Chap. 32: pp. 1–12.
24.
SomP. M.BillerH. F. (1979): The Combined CT Sialogram—A Technique to Differentiate Deep Lobe Parotid Tumors from Extraparotid Pharyngomaxillary Space Tumors, Ann Otol Rhinol Laryngol. 88: 590–595.
25.
SomP. M.BillerH. F. (1980): The Combined CT Sialogram, Radiology. 135:387–390.
26.
SpiroR. H.HuvosA. G.StrongE. W. (1975): Cancer of the Parotid Gland. A Clinicopathologic Study of 288 Primary Cases, Am J Surg. 130: 452.
27.
WorkW. P. (1977): Cysts and Congenital Lesions of the Parotid Gland, Otol Clin N A. 10: 339–343.
28.
YaringtonC. T. (1979): Salivary Gland Disease, ORL and Allergy Digest41:13–24.
