acute submandibular adenitis
Introduction
Introduction to acute submandibular gland inflammation Retrograde inflammation of the submandibular gland due to obstruction and stenosis of the catheter, known as submandibular gland inflammation, often associated with meteorites. The clinical manifestations are mainly submandibular gland enlargement, pain, and purulent discharge from the catheter mouth. The incidence of this disease is high in adults, and most of them are chronic. At present, there are more effective treatment drugs and methods, the cure rate is higher, and those who are not treated in time are not treated properly. The effect is not good. Therefore, early treatment is the key. basic knowledge The proportion of illness: 0.005% Susceptible people: no specific population Mode of infection: non-infectious Complications: tonsil stones
Cause
Causes of acute submandibular gland inflammation
Catheter obstruction or stenosis caused by various reasons, resulting in poor sputum excretion, retrograde infection of oral bacteria. Submandibular gland inflammation is often caused by blockage of catheter stones, but also due to other guides such as bone fragments, awns, etc. into the catheter. Bacterial infections entering the catheter are also seen clinically.
Prevention
Acute submandibular gland inflammation prevention
Strengthen oral hygiene, drink more acidic drinks, and abscesses are limited to incision and drainage. If it is caused by stones, remove the vermiculite after the inflammation is controlled. If the deep meteorite can not be taken out, or clinically repeated, the gland enlargement has been fibrous tissue, and it is feasible to remove the submandibular gland.
Complication
Acute submandibular gland complications Complications tonsil stones
Because the submandibular gland ducts go from posterior to posterior, the sputum excretion is slow, and it is easy to form stones. In addition, the catheter mouth is exposed to the mouth area, and there are many opportunities for retrograde infection. Therefore, submandibular gland inflammation is often accompanied by submandibular gland duct stones.
Symptom
Acute submandibular gland symptoms Common symptoms Submandibular gland pain, tenderness, purulent secretions, pain, submandibular gland ducts have a fever, submandibular gland enlargement, hard palate, semicircular bulge, frontal pain
Acute submandibular gland inflammation is a symptom of general acute inflammation. The patient's mouth is swollen and painful, and the submandibular triangle is red and swollen. The submandibular gland is red and swollen, and there is pus or inflammatory fluid flowing out of the submandibular gland. Systemic symptoms are fever, increased breathing and pulse, total white blood cells and neutrophils.
Examine
Examination of acute submandibular gland inflammation
1, general physical examination: fever, general malaise, swelling in the submandibular area, pain, submandibular gland enlargement, tenderness. The sublingual area of the affected side was red and swollen, the mouth of the catheter was red and swollen, and there was a purulent discharge. Bottom occlusal tablets may show catheter stones.
2, blood routine: increased white blood cell count.
Diagnosis
Diagnosis and diagnosis of acute submandibular gland inflammation
1, chronic submandibular gland inflammation, manifested as submandibular area mass, a history of repeated swelling, the diameter of the mass is generally not more than 2cm, the submandibular gland duct mouth is normal, no swelling after eating and cramps symptoms, X-ray examination For normal submandibular gland images.
2, submandibular gland tumor, often showed persistent increase, generally no inflammation, anti-inflammatory treatment is not effective, malignant tumor often involving the tongue nerve, hypoglossal nerve, facial nerve mandibular branch caused the corresponding dysfunction, submandibular gland angiography visible space Lesion.
3, acute odontogenic submandibular cellulitis, as acute submandibular gland inflammation showed acute inflammation, but no history and clinical manifestations of chronic submandibular gland inflammation, oral odontogenic lesions.
