Cialdini - inflammation of the salivary glands in the result of penetration of her infection or violation of salivation. When sialadenitis salivary gland often infected through the main excretory duct, rarely lymphogenous or hematogenous route. In most cases, the emergence of sialadenitis associated with short-term or long-term reduction or termination of allocation of saliva hard place acute infectious diseases, and after operations in the abdominal cavity, the result of trauma, cancer and so on, most Often affected parotid gland (see Parotitis), much less submandibular and only sometimes - sublingual. Developing Cialdini and when released into the excretory duct of a foreign body or education salivary stones. In addition, when viral damage glands occurs epidemic Cialdini (see Mumps epidemic), and at such diseases as a actinomycosis, tuberculosis, syphilis, specific Cialdini.
There are acute and chronic sialadenitis. In acute sialadenitis appear swelling in the field of cancer, pain, aggravated by food intake. Gland enlarged, painful to palpation. From duct stands out a little saliva, it is cloudy, sometimes follows pus. The most severe is neèpidemičeskaâ mumps.
Complications may arise - abscess, rarely cellulitis. Sometimes there is a transition into a chronic form of sialadenitis, especially in the presence of stone (see Sialolithiasis).
Chronic sialadenitis is manifested by a progressive decrease in salivary flow, often a feeling of dryness in the mouth (see Xerostomia). Iron is increased, dense, painless. From duct stands out a little murky, thick saliva, sometimes with admixture of white flakes. Often inflammation aggravated.
Prevention and treatment. In order to prevent the occurrence of sialadenitis with severe diseases requires regular care of the oral cavity of the patient. To increase the excretion of saliva appoint mouthwash 2% solution of boric acid, 1 % solution of citric and acetic acid. In acute sialadenitis and chronic use sollux, warmers, UHF. Inside appoint sulfa drugs and broad-spectrum antibiotics commonly dosages. In duct affected gland impose 50 000 UNITS of penicillin or streptomycin in 1-2 ml of 0.5% solution novokaina (pre-easy massing glands and the duct is removed from them the secret). Infiltrate tissue around the glands and the duct solution of Novocain, sometimes with the addition of penicillin or streptomycin. When the abscess formation, or cellulitis (temperature rise, the deterioration of the General condition of the patient should be sent to the dentist for surgical intervention.
The forecast. The process usually ends in two weeks; in cases abscesses may occur necrosis and formed salivary fistula.