Sialolithiasis (synonym: clonakenny disease, salivary stones) - disease accompanied by the formation of stones in the excretory ducts and the parenchyma of the salivary glands. Education stone contribute infection, foreign body, duct narrowing of different nature, the violation of mineral metabolism. Stone size from grains of sand to several centimeters in diameter. Most often affected submandibular salivary gland.
In the initial stage of the disease are asymptomatic. In the localization of stone in the channel which prevents the salivation, patients complain of stabbing pain in the appropriate cancer, especially when eating ("salivary colic"). Iron while it increased in size, heavy and painful to palpation. After eating the pain subsides and the swelling gradually disappears. Bimanual examination is able to detect the presence of stones in the channel. Violation of the outflow of saliva and the acceding infection leads to chronic of sialadenitis (see). To diagnose sialolithiasis particularly valuable is sialography (see).
Complications - abscesses or cellulitis in the surrounding rock soft tissues, thus there is pain when swallowing, movement language.
Treatment and surgery. In the localization of stone in the channel - cut fabric and removed the stone, not sutured the wound and leave "the graduate" (a narrow rubber strip). At the location of the stone in submandibular salivary gland and the presence of chronic sialadenitis shows the removal of the gland. When the stone of the parotid gland removed through the external incision, the wound is sutured. After the operation in order to prevent the occurrence of salivary fistula in a few days on the parotid region impose pressure bandage; give liquid food, appoint half an hour before meals at 8-10 drops of tincture of belladonna or 0.1% solution of atropine (tincture belladonna you can assign to reduce pain and before the surgery).