A salivary gland stone (sialolithiasis) is a stone that develops in one of the salivary glands or ducts. The salivary glands produce saliva which enters the mouth through various ducts (tubes). Saliva moistens food and aids in chewing and swallowing. There are 3 pairs of salivary glands. The parotids are the largest glands located in each cheek in front of the ears. There are also two submandibular glands (located under the jaw) and two sublingual glands (located under the tongue).

Symptoms may include:

• Swelling and inflammation (swelling, tenderness, warmth) of the involved gland or duct
• Pain at the site. If in the parotid gland, swelling occurs in front of the ear; the other glands cause swelling under the chin
• Decreases saliva production in the mouth
• Possible signs of infection (fever, pus discharge, or increased pain and inflammation)

WHAT YOUR DOCTOR CAN DO:

• Diagnose the condition by asking about your symptoms, performing a physical exam, and x-rays.
• Prescribe antibiotics to treat bacterial infections, pain medications to minimize discomfort, and anti-inflammatory agents to decrease inflammation.
Treatment:
• Removal of the stone by manual manipulation or surgery
• Surgical removal of the gland if the problem is severe or tends to recur

WHAT YOU CAN EXPECT:

• Complete recovery though stones may recur.
• Complications may include infection or obstruction of the salivary duct.

CALL 1061 OR SEEK IMMEDIATE MEDICAL ASSISTANCE If you have symptoms of a salivary gland stone, or if symptoms worsen or recur despite treatment.