Salivary Stone Disease (Sialolithiasis): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate sialolithiasis (salivary stone disease):

Pathognomonic (indicative of a disease).

• Intermittent painful glandular swelling/swelling of the cheek in response to food intake.

Main symptoms of sialolithiasis

• Clinically initially inapparent (“inconspicuous”).
• Later, intermittent painful swelling before and during food intake
• Possibly bad taste
• Possibly spontaneous concrement discharge

Main symptoms of acute bacterial superinfected sialolithiasis.

• Painful swelling in the area of the gland.
• Redness of the skin
• Swelling and redness of the excretory duct
• Usually only unilateral infection
• Sometimes putrid (“putrid”), flocculent and no longer clear saliva.

Localization of sialoliths:

Warning signs (red flags)

In about half of the cases, the so-called Küttner tumor of the submandibular gland (synonym: sialadenitis of the submandibular gland) is associated with sialolithiasis. Palpatorily, Küttner’s tumor is difficult to differentiate from a neoplasia (neoplasm).