Submandibular gland pain, tenderness
Introduction
Introduction Submandibular gland pain and tenderness are one of the symptoms of submandibular gland inflammation. The retrograde inflammation of the submandibular gland is caused by obstruction and stenosis of the catheter. It is called submandibular gland inflammation and often occurs with vermiculite. The submandibular gland is a mixed gland. The secreted saliva is rich in mucin, which is more viscous than the parotid secretion. The calcium content is also twice as high, and the calcium salt is easy to deposit. The submandibular gland is opened from the bottom to the top, and the gland secretions flow in the direction of gravity. The catheter is long and has a curved portion at the back of the mouth. The whole process of the catheter is tortuous. These anatomical structures are prone to stasis of saliva, resulting in the formation of vermiculite. The production of vermiculite causes the catheter to occlude and stenosis, causing retrograde infection and submandibular gland inflammation.
Cause
Cause
Catheter obstruction or stenosis caused by various causes results in poor sputum excretion and oral bacterial retrograde infection.
Examine
an examination
Related inspection
Oral X-ray examination of maxillofacial examination oral endoscope
1. fever, general malaise, increased white blood cell count;
2. Swelling and pain in the submandibular area. Submandibular gland enlargement, tenderness;
3. The sublingual area of the affected side is red and swollen, the mouth of the catheter is red and swollen, and there is a discharge of purulent discharge;
4. Chronic patients may have a history of repeated swelling and pain in the submandibular area, submandibular gland enlargement, slightly harder, light tenderness;
5. The jaw of the submandibular gland is slightly red and swollen, with pus or turbid fluid discharge;
6. Bottom occlusal tablets may show catheter stones.
Diagnosis
Differential diagnosis
1. Chronic submandibular gland inflammation is characterized by a recurring enlargement of the mass in the submandibular area. The diameter of the mass is generally less than 2 cm. The diameter of the submandibular gland is normal. There is no swelling after eating and the symptoms of cramps are examined by X-ray angiography as normal submandibular gland images.
2. Submandibular gland tumors often show persistent enlargement. Generally no inflammation. Anti-inflammatory treatment is ineffective. Malignant tumors often involve the sublingual nerve of the sublingual nerve facial nerve. The corresponding dysfunction of the submandibular gland can be seen as a space-occupying lesion.
3. Acute odontogenic submandibular cellulitis and acute submandibular gland inflammation showed acute inflammation but no history of chronic submandibular gland inflammation and clinical manifestations of oral odontogenic lesions.
