Diagnosis and treatment of sialodochitis of the submandibular salivary glands in a dental clinic

Congenital ductal changes, which are determined in the form of strictures and parotid ductal ectasia and submandibular salivary glands, occur in 70% of patients suffering from chronic sialadenitis. Analyzing the literature and archival data from the Department of Maxillofacial Surgery and Traumatology, the A.I.Evdokimov Moscow State Medical and Dental University, the authors noted the absence of long-term remission in patients with severe ductal ectasia of the submandibular salivary glands with only conservative therapy. A surgical treatment method was proposed, which provided a low level of trauma to collateral tissues and a stable long-term result. In 98% of patients after surgery, clear secretion was detected in sufficient quantities, without signs of inflammation, and the symptom of “salivary colic” was absent.