Viral infections (Mumps)

  • Common among children.
  • Usually affects parotid, occasionally submandibular
  • Painful swelling, fever and headache.
  • Resolves in 5-10 days.

Treatment

  • symptomatic

Calcular disease (Sialolithiasis):

  • Painful swelling of submandibular gland during eating
  • Swelling resolves/ reduces 1-2 hours after meals
  • Enlarged submandibular gland on bimanual examination
  • Stone in the duct- palpable in the floor of mouth

Treatment:

  • Stone in the duct- extraction by direct incision over the duct
  • Stone in the gland- excision of the gland