Sialolitiasis o Litiasis de glándulas salivales

"We bet on the treatment of salivary gland pathologies by means of minimally invasive techniques".

DR. JORGE DE ABAJO LARRIBA
SPECIALIST. OTORHINOLARYNGOLOGY DEPARTMENT

La sialolitiasis o litiasis en las glándulas salivales es la formación de cálculos en los conductos de drenaje de las glándulas salivales mayores (parótida, submaxilar y sublingual).

El cálculo produce una obstrucción en la salida de la saliva hacia la boca, causando dolor, inflamación y, a veces, infección.

En la Clínica utilizamos técnicas mínimamente invasivas en las que, a diferencia de la cirugía convencional de extirpación, es posible preservar la glándula en la gran mayoría de los casos, disminuyendo los riesgos que pueden implicar deformidades estéticas tales como la parálisis del nervio facial o la pérdida de volumen facial o el síndrome de Frey (Sudoración profusa de la piel de la región parotídea al ingerir alimentos).

Al tratarse de técnicas mínimamente invasivas, se minimiza el dolor y la recuperación es muy rápida, por lo que, en la mayoría de los casos, el paciente puede retomar su actividad profesional al día siguiente.

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What are the symptoms of salivary gland stones?

Stones that block the flow of saliva cause inflammation and pain, especially after eating, when there is a greater stimulation of the flow of saliva.

Symptoms may subside after a few hours. Some stones cause intermittent symptoms or are asymptomatic.

If a complete obstruction occurs, the gland increases more in size and becomes painful to the touch, even fever can appear due to bacterial superinfection of the gland (acute bacterial sialoadenitis).

The most common symptoms are:

  • Edema.
  • Pain.
  • Inflammation.
  • Fever.

Do you have any of these symptoms?

You may have a stone in your salivary gland

How is sialolithiasis diagnosed?

<p>Resonancia magn&eacute;tica</p>

The diagnosis of sialolithiasis is usually made by the clinical history that the patient takes and the physical examination and salivary gland ultrasound.  It is common for the specialist to notice the stone when palpating the salivary gland, especially if the stone is located in the distal part of the Wharton's or Stenon's duct.  

Sometimes, it may be necessary to perform complementary tests such as simple x-ray, CT scan, MRI or sialography (injection of intraglandular contrast).

How is salivary gland lithiasis treated?

Minimally invasive techniques to avoid possible complications

Conservative measures consist of local heat, massage and hydration to try to dissolve and mobilize the stone.

The secretion of saliva can be stimulated with mint tablets or drops of lemon juice and in this way, try to expel the stone in a natural way.

If a bacterial infection is suspected, it will be necessary to begin antibiotic treatment.

Sialoendoscopy is used both in the diagnosis and treatment of pathologies of the parotid and submaxillary glands.

It consists of channeling and visualizing the gland's secretory apparatus using a miniaturized endoscope. In this way, it makes it possible to treat the extraction of stones, the dilation of stenosis (narrowing) or the injection of intraglandular medication.

The intraoral approach to the Stenon and Wharton ducts is used primarily for the removal of large stones, which cannot be removed by sialoendoscopy.

Where do we treat it?

IN NAVARRA AND MADRID

OUR MEDICAL TEAM

Specialists from the Department of Otolaryngology

The Department of Otorhinolaryngology of the University of Navarra Clinic is a national and world reference in numerous highly specialized surgical procedures.

We have the latest technology and we perform all diagnostic tests in less than 48 hours in order to offer our patients the best solution in the shortest time possible.

We were one of the first centers in Spain to use robotic surgery in the surgical treatment with the Da Vinci® System. 

Organized in specialized units:

  • Otology - Hearing.
  • Rhinology - Nose.
  • Pharyngology - Throat.
  • Laryngology - Voice.
  • Balance disorders.
  • Head and neck problems.
Imagen de la fachada de consultas de la sede en Pamplona de la Clínica Universidad de Navarra

Why at the Clinica?

  • Experts in the treatment of hearing problems.
  • Pioneers in axillary surgery to avoid scarring.
  • National reference center in tissue sealing for tonsil removal.

Safer than ever to continue taking care of you

We update safety protocols weekly with the latest scientific evidence and the knowledge of the best international centers with which we collaborate.