Acute Submandibular Sialadenitis

Acute Submandibular Sialadenitis

Discuss the differential diagnosis of submandibular swelling. 

Answer. Differential diagnosis of submandibular swellings.

Submandibular swellings are of three types, i.e.

“Symptoms Of Acute Submandibular Sialadenitis”

• Stenosis: Most commonly occurs as complication of Ludwig’s angina
• Sialectasia: It is an aseptic dilatation of salivary ductules causing grape like dilatation.
  It present as a smooth, soft, fluctuant, nontransilluminating swelling which increases in size during mastication. It is tender initially. It last for many days being asymptomatic.
• Acute Lymphadenitis: Very often, poor oral hygiene or a caries tooth produces painful,tender, soft enlargement of these lymph nodes.
  Extraction of tooth or with the improvement of oral hygiene, lymph nodes regress.

“What Is Acute Submandibular Sialadenitis”

Submandibular swellings Recurrent acute

• Stones
• Stenosis
• Sialectasis.

“Causes Of Acute Submandibular Sialadenitis”

Submandibular swellings Chronic

• Sialosis
• Autoimmune diseases
• Neoplasms.

Chronic Tuberculous Lymphadenitis: Can affect these nodes along with upper deep cervical lymph nodes.

These nodes are fim and matted.

“Risk Factors For Developing Submandibular Sialadenitis”

Secondaries in the sub-mandibular lymph node arises from carcinoma of cheek, tongue, palate. The nodes are hard with or without fifty.

Non-Hodgkin’s Lymphoma: It can involve sub-mandibular lymph nodes along with horizontal group of lymph nodes in the neck. The nodes are firm and rubbery in consistency.