Recurrent sialadenitis is a relatively uncommon condition which develops as a result of low-grade bacterial infection. It usually affects the parotid, one or both glands, and may occur at any age.
The affected gland is subject to recurrent attacks and becomes painful and swollen. The duct system of the gland becomes dilated with terminal sacculation - sialectasis - which can be seen by sialography.
Treatment includes antibiotics after samples of parotid discharge have been taken for culture. Advice is given regarding oral hygiene. Intractable cases require superficial parotidectomy.
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