• Med. Clin. North Am. · Sep 2021

    Review

    An Update on Nontumorous Disorders of the Salivary Glands and Their Management for Internists.

    • Kelly E Daniels and Barry M Schaitkin.
    • University of Pittsburgh Medical Center, 203 Lothrop Street, 5th Floor, Pittsburgh, PA 15213, USA.
    • Med. Clin. North Am. 2021 Sep 1; 105 (5): 839-847.

    AbstractSalivary disease may present as pain or swelling in unilateral or bilateral salivary glands. Symptoms may be periprandial or recurrent and inflammatory. If a patient fails conservative treatment, they should be referred to an otolaryngologist. If there is no clear cause based on history and physical examination, sialendoscopy can be performed to directly visualize tissues, provide a diagnosis, drive treatment plans, and sometimes concurrently provide therapeutic intervention. Based on the pathology visualized on sialendoscopy, treatment options include endoscopic intervention, Botox, and gland-preserving surgical techniques, which promote healing of glandular tissue, ultimately preserving function.Copyright © 2021 Elsevier Inc. All rights reserved.

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