Skip to main content
Erschienen in: HNO 5/2016

01.05.2016 | Sialadenitis | CME

Schwellungen der Glandulae submandibularis und parotis

Beschreibung möglicher Differenzialdiagnosen

verfasst von: Dr. med. univ. B. Hofauer, A. Chaker, T. Strenger, M. Bas, N. Mansour, A. Knopf

Erschienen in: HNO | Ausgabe 5/2016

Einloggen, um Zugang zu erhalten

Zusammenfassung

Eine Vielzahl von lokalen oder systemischen Erkrankungen kann zu Schwellungen einer oder mehrerer Kopfspeicheldrüsen führen. Neben kongenitalen zystischen oder vaskulären Fehlbildungen können sowohl entzündliche als auch tumoröse Prozesse differenzialdiagnostisch abgegrenzt werden. Auch Obstruktionen der Ausführungsgänge, verursacht durch Konkremente oder Stenosen, können zu Schwellungen der Speicheldrüsen führen. Verschiedene Systemerkrankungen können sich im Bereich der Ohr- oder Unterkieferspeicheldrüsen manifestieren. Da sich die Therapie je nach Ursache erheblich unterscheidet, ist die Kenntnis der unterschiedlichen Differenzialdiagnosen für den Hals-Nasen-Ohren-Arzt von großer Bedeutung.
Literatur
1.
Zurück zum Zitat Triglia JM, Nicollas R, Ducroz V, Koltai PJ, Garabedian EN (1998) First branchial cleft anomalies: a study of 39 cases and a review of the literature. Arch Otolaryngol Head Neck Surg 124:291–295CrossRefPubMed Triglia JM, Nicollas R, Ducroz V, Koltai PJ, Garabedian EN (1998) First branchial cleft anomalies: a study of 39 cases and a review of the literature. Arch Otolaryngol Head Neck Surg 124:291–295CrossRefPubMed
2.
3.
4.
Zurück zum Zitat Chen MF, Ueng SH, Jung SM, Chen YL, Chang KP (2006) A type II first branchial cleft cyst masquerading as an infected parotid Warthin’s tumor. Chang Gung Med J 29:435–439PubMed Chen MF, Ueng SH, Jung SM, Chen YL, Chang KP (2006) A type II first branchial cleft cyst masquerading as an infected parotid Warthin’s tumor. Chang Gung Med J 29:435–439PubMed
5.
6.
Zurück zum Zitat Marler JJ, Mulliken JB (2005) Current management of hemangiomas and vascular malformations. Clin Plast Surg 32:99–116CrossRefPubMed Marler JJ, Mulliken JB (2005) Current management of hemangiomas and vascular malformations. Clin Plast Surg 32:99–116CrossRefPubMed
7.
Zurück zum Zitat Ficarra G, Sapp JP, Christensen RE, Polyakov V (1996) Dysgenetic polycystic disease of the parotid gland: report of case. J Oral Maxillofac Surg 54:1246–1249CrossRefPubMed Ficarra G, Sapp JP, Christensen RE, Polyakov V (1996) Dysgenetic polycystic disease of the parotid gland: report of case. J Oral Maxillofac Surg 54:1246–1249CrossRefPubMed
8.
Zurück zum Zitat Mandel L, Surattanont F (2002) Bilateral parotid swelling: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:221–237CrossRefPubMed Mandel L, Surattanont F (2002) Bilateral parotid swelling: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:221–237CrossRefPubMed
9.
Zurück zum Zitat McQuone SJ (1999) Acute viral and bacterial infections of the salivary glands. Otolaryngol Clin North Am 32:793–811CrossRefPubMed McQuone SJ (1999) Acute viral and bacterial infections of the salivary glands. Otolaryngol Clin North Am 32:793–811CrossRefPubMed
10.
Zurück zum Zitat Schiødt M (1992) HIV-associated salivary gland disease: a review. Oral Surg Oral Med Oral Pathol 73:164–167CrossRefPubMed Schiødt M (1992) HIV-associated salivary gland disease: a review. Oral Surg Oral Med Oral Pathol 73:164–167CrossRefPubMed
11.
Zurück zum Zitat Zeitlen S, Shaha A (1991) Parotid manifestations of HIV infection. J Surg Oncol 47:230–232CrossRefPubMed Zeitlen S, Shaha A (1991) Parotid manifestations of HIV infection. J Surg Oncol 47:230–232CrossRefPubMed
12.
Zurück zum Zitat Wilson KF, Meier JD, Ward (2014) Salivary gland disorders. Am Fam Physician 89:882–888PubMed Wilson KF, Meier JD, Ward (2014) Salivary gland disorders. Am Fam Physician 89:882–888PubMed
13.
Zurück zum Zitat Barnes L, Eveson JW, Reichart P, Sidransky D (2005) Tumours of the Salivary Glands. In: Pathology and genetics of head and neck tumours. World Health Organization, Lyon, S 209 Barnes L, Eveson JW, Reichart P, Sidransky D (2005) Tumours of the Salivary Glands. In: Pathology and genetics of head and neck tumours. World Health Organization, Lyon, S 209
14.
Zurück zum Zitat Mansour N, Bas M, Stock KF, Strassen U, Hofauer B, Knopf A (2015) Multimodal ultrasonographic pathway of parotid gland lesions. Ultraschall Med [Epub ahead of print] Mansour N, Bas M, Stock KF, Strassen U, Hofauer B, Knopf A (2015) Multimodal ultrasonographic pathway of parotid gland lesions. Ultraschall Med [Epub ahead of print]
15.
Zurück zum Zitat Mansour N, Stock KF, Chaker A, Bas M, Knopf A (2012) Evaluation of parotid gland lesions with standard ultrasound, color duplex sonography, sonoelastography, and acoustic radiation force impulse imaging – a pilot study. Ultraschall Med 33:283–288CrossRefPubMed Mansour N, Stock KF, Chaker A, Bas M, Knopf A (2012) Evaluation of parotid gland lesions with standard ultrasound, color duplex sonography, sonoelastography, and acoustic radiation force impulse imaging – a pilot study. Ultraschall Med 33:283–288CrossRefPubMed
16.
Zurück zum Zitat Knopf A, Mansour N, Chaker A, Bas M, Stock K (2012) Multimodal ultrasonographic characterisation of parotid gland lesions – a pilot study. Eur J Radiol 81:3300–3305CrossRefPubMed Knopf A, Mansour N, Chaker A, Bas M, Stock K (2012) Multimodal ultrasonographic characterisation of parotid gland lesions – a pilot study. Eur J Radiol 81:3300–3305CrossRefPubMed
20.
Zurück zum Zitat Sigismund PE, Zenk J, Koch M, Schapher M, Rudes M, Iro H (2015) Nearly 3,000 salivary stones: some clinical and epidemiologic aspects. Laryngoscope 125:1879–1882CrossRefPubMed Sigismund PE, Zenk J, Koch M, Schapher M, Rudes M, Iro H (2015) Nearly 3,000 salivary stones: some clinical and epidemiologic aspects. Laryngoscope 125:1879–1882CrossRefPubMed
21.
Zurück zum Zitat McKenna JP, Bostock DJ, McMenamin PG (1987) Sialolithiasis. Am Fam Physician 36:119–125PubMed McKenna JP, Bostock DJ, McMenamin PG (1987) Sialolithiasis. Am Fam Physician 36:119–125PubMed
22.
Zurück zum Zitat Rice DH (1999) Noninflammatory, non-neoplastic disorders of the salivary glands. Otolaryngol Clin North Am 32:835–843CrossRefPubMed Rice DH (1999) Noninflammatory, non-neoplastic disorders of the salivary glands. Otolaryngol Clin North Am 32:835–843CrossRefPubMed
23.
Zurück zum Zitat Capaccio P, Torretta S, Ottavian F, Sambataro G, Pignataro L (2007) Modern management of obstructive salivary diseases. Acta Otorhinolaryngol Ital 27:161–172PubMedPubMedCentral Capaccio P, Torretta S, Ottavian F, Sambataro G, Pignataro L (2007) Modern management of obstructive salivary diseases. Acta Otorhinolaryngol Ital 27:161–172PubMedPubMedCentral
24.
Zurück zum Zitat Koch M, Zenk J, Iro H (2009) Algorithms for treatment of salivary gland obstructions. Otolaryngol Clin North Am 42:1173–1192 (table of contents)CrossRefPubMed Koch M, Zenk J, Iro H (2009) Algorithms for treatment of salivary gland obstructions. Otolaryngol Clin North Am 42:1173–1192 (table of contents)CrossRefPubMed
25.
Zurück zum Zitat Vitali C, Bombardieri S, Jonsson R et al (2002) Classification criteria for Sjögren’s syndrome: a revised version of the European criteria proposed by the American-European Consensus Group. Ann Rheum Dis 61:554–558CrossRefPubMedPubMedCentral Vitali C, Bombardieri S, Jonsson R et al (2002) Classification criteria for Sjögren’s syndrome: a revised version of the European criteria proposed by the American-European Consensus Group. Ann Rheum Dis 61:554–558CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Knopf A, Hofauer B, Thürmel K et al (2015) Diagnostic utility of Acoustic Radiation Force Impulse (ARFI) imaging in primary Sjoegren’s syndrome. Eur Radiol 25:3027–3034CrossRefPubMed Knopf A, Hofauer B, Thürmel K et al (2015) Diagnostic utility of Acoustic Radiation Force Impulse (ARFI) imaging in primary Sjoegren’s syndrome. Eur Radiol 25:3027–3034CrossRefPubMed
27.
Zurück zum Zitat Hofauer B, Bas M, Manour N, Knopf A (2013) Liposomal local therapy as treatment for sicca symptoms in patients with primary Sjögren’s syndrome. HNO 61:921–927CrossRefPubMed Hofauer B, Bas M, Manour N, Knopf A (2013) Liposomal local therapy as treatment for sicca symptoms in patients with primary Sjögren’s syndrome. HNO 61:921–927CrossRefPubMed
28.
Zurück zum Zitat Knopf A, Bas M, Chaker A et al (2011) Rheumatic disorders affecting the head and neck: underestimated diseases. Rheumatology (Oxford) 50:2029–2034CrossRef Knopf A, Bas M, Chaker A et al (2011) Rheumatic disorders affecting the head and neck: underestimated diseases. Rheumatology (Oxford) 50:2029–2034CrossRef
29.
Zurück zum Zitat Cornec D, Saraux A, Jousse-Joulin S et al (2015) The differential diagnosis of dry eyes, dry mouth, and parotidomegaly: a comprehensive review. Clin Rev Allergy Immunol 49:278–287CrossRefPubMed Cornec D, Saraux A, Jousse-Joulin S et al (2015) The differential diagnosis of dry eyes, dry mouth, and parotidomegaly: a comprehensive review. Clin Rev Allergy Immunol 49:278–287CrossRefPubMed
30.
Zurück zum Zitat Knopf A, Lahmer T, Chaker A et al (2013) Head and neck sarcoidosis, from wait and see to tumor necrosis factor alpha therapy: a pilot study. Head Neck 35:715–719CrossRefPubMed Knopf A, Lahmer T, Chaker A et al (2013) Head and neck sarcoidosis, from wait and see to tumor necrosis factor alpha therapy: a pilot study. Head Neck 35:715–719CrossRefPubMed
31.
33.
34.
Zurück zum Zitat Geyer JT, Ferry JA, Harris NL et al (2010) Chronic sclerosing sialadenitis (Küttner tumor) is an IgG4-associated disease. Am J Surg Pathol 34:202–210CrossRefPubMed Geyer JT, Ferry JA, Harris NL et al (2010) Chronic sclerosing sialadenitis (Küttner tumor) is an IgG4-associated disease. Am J Surg Pathol 34:202–210CrossRefPubMed
35.
Zurück zum Zitat Yamamoto M, Takahashi H, Sugai S, Imai K (2005) Clinical and pathological characteristics of Mikulicz’s disease (IgG4-related plasmacytic exocrinopathy). Autoimmun Rev 4:195–200CrossRefPubMed Yamamoto M, Takahashi H, Sugai S, Imai K (2005) Clinical and pathological characteristics of Mikulicz’s disease (IgG4-related plasmacytic exocrinopathy). Autoimmun Rev 4:195–200CrossRefPubMed
36.
Zurück zum Zitat Masaki Y, Sugai S, Umehara H (2010) IgG4-related diseases including Mikulicz’s disease and sclerosing pancreatitis: diagnostic insights. J Rheumatol 37:1380–1385CrossRefPubMed Masaki Y, Sugai S, Umehara H (2010) IgG4-related diseases including Mikulicz’s disease and sclerosing pancreatitis: diagnostic insights. J Rheumatol 37:1380–1385CrossRefPubMed
37.
Zurück zum Zitat Stone JH, Caruso PA, Deshpande V (2009) Case records of the Massachusetts General Hospital. Case 24-2009. A 26-year-old woman with painful swelling of the neck. N Engl J Med 361:511–518CrossRefPubMed Stone JH, Caruso PA, Deshpande V (2009) Case records of the Massachusetts General Hospital. Case 24-2009. A 26-year-old woman with painful swelling of the neck. N Engl J Med 361:511–518CrossRefPubMed
38.
Zurück zum Zitat Khosroshahi A, Stone JH (2011) IgG4-related systemic disease: the age of discovery. Curr Opin Rheumatol 23:72–73CrossRefPubMed Khosroshahi A, Stone JH (2011) IgG4-related systemic disease: the age of discovery. Curr Opin Rheumatol 23:72–73CrossRefPubMed
39.
Zurück zum Zitat Kubota K, Wada T, Kato S et al (2010) Highly active state of autoimmune pancreatitis with mikulicz disease. Pancreas 39:e6–e10CrossRefPubMed Kubota K, Wada T, Kato S et al (2010) Highly active state of autoimmune pancreatitis with mikulicz disease. Pancreas 39:e6–e10CrossRefPubMed
40.
Zurück zum Zitat Fragoulis GE, Moutsopoulos HM (2010) IgG4 syndrome: old disease, new perspective. J Rheumatol 37:1369–1370CrossRefPubMed Fragoulis GE, Moutsopoulos HM (2010) IgG4 syndrome: old disease, new perspective. J Rheumatol 37:1369–1370CrossRefPubMed
41.
Zurück zum Zitat Shiboski SC, Shiboski CH, Criswell L et al (2012) American College of Rheumatology classification criteria for Sjögren’s syndrome: a data-driven, expert consensus approach in the Sjögren’s International Collaborative Clinical Alliance cohort. Arthritis Care Res (Hoboken) 64:475–487CrossRef Shiboski SC, Shiboski CH, Criswell L et al (2012) American College of Rheumatology classification criteria for Sjögren’s syndrome: a data-driven, expert consensus approach in the Sjögren’s International Collaborative Clinical Alliance cohort. Arthritis Care Res (Hoboken) 64:475–487CrossRef
42.
43.
Zurück zum Zitat Hofauer B, Bas M, Strassen U, Matsuba Y, Mansour N, Knopf A (2014) Liposomal local therapy of sinunasal symptoms in ANCA associated vasculitis. Laryngorhinootologie 93:461–466CrossRefPubMed Hofauer B, Bas M, Strassen U, Matsuba Y, Mansour N, Knopf A (2014) Liposomal local therapy of sinunasal symptoms in ANCA associated vasculitis. Laryngorhinootologie 93:461–466CrossRefPubMed
44.
Zurück zum Zitat Barrett AW (2012) Wegener’s granulomatosis of the major salivary glands. J Oral Pathol Med 41:721–727CrossRefPubMed Barrett AW (2012) Wegener’s granulomatosis of the major salivary glands. J Oral Pathol Med 41:721–727CrossRefPubMed
45.
Zurück zum Zitat Specks U, Colby TV, Olsen KD, DeRemee RA (1991) Salivary gland involvement in Wegener’s granulomatosis. Arch Otolaryngol Head Neck Surg 117:218–223CrossRefPubMed Specks U, Colby TV, Olsen KD, DeRemee RA (1991) Salivary gland involvement in Wegener’s granulomatosis. Arch Otolaryngol Head Neck Surg 117:218–223CrossRefPubMed
46.
Zurück zum Zitat Galili D, Marmary Y (1985) Spontaneous regeneration of the parotid salivary gland following juvenile recurrent parotitis. Oral Surg Oral Med Oral Pathol 60:605–607CrossRefPubMed Galili D, Marmary Y (1985) Spontaneous regeneration of the parotid salivary gland following juvenile recurrent parotitis. Oral Surg Oral Med Oral Pathol 60:605–607CrossRefPubMed
47.
Zurück zum Zitat Ericson S, Zetterlund B, Ohman J (1991) Recurrent parotitis and sialectasis in childhood. Clinical, radiologic, immunologic, bacteriologic, and histologic study. Ann Otol Rhinol Laryngol 100:527–535CrossRefPubMed Ericson S, Zetterlund B, Ohman J (1991) Recurrent parotitis and sialectasis in childhood. Clinical, radiologic, immunologic, bacteriologic, and histologic study. Ann Otol Rhinol Laryngol 100:527–535CrossRefPubMed
49.
Zurück zum Zitat Mizuno Y, Hara T, Hatae K et al (1989) Recurrent parotid gland enlargement as an initial manifestation of Sjögren syndrome in children. Eur J Pediatr 148:414–416CrossRefPubMed Mizuno Y, Hara T, Hatae K et al (1989) Recurrent parotid gland enlargement as an initial manifestation of Sjögren syndrome in children. Eur J Pediatr 148:414–416CrossRefPubMed
50.
51.
Zurück zum Zitat Geterud A, Lindvall AM, Nylén O (1988) Follow-up study of recurrent parotitis in children. Ann Otol Rhinol Laryngol 97:341–346CrossRefPubMed Geterud A, Lindvall AM, Nylén O (1988) Follow-up study of recurrent parotitis in children. Ann Otol Rhinol Laryngol 97:341–346CrossRefPubMed
52.
Zurück zum Zitat Watkin GT, Hobsley M (1986) Natural history of patients with recurrent parotitis and punctate sialectasis. Br J Surg 73:745–748CrossRefPubMed Watkin GT, Hobsley M (1986) Natural history of patients with recurrent parotitis and punctate sialectasis. Br J Surg 73:745–748CrossRefPubMed
53.
Zurück zum Zitat Chilla R (1981) Sialadenosis of the salivary glands of the head. Studies on the physiology and pathophysiology of parotid secretion. Adv Otorhinolaryngol 26:1–38PubMed Chilla R (1981) Sialadenosis of the salivary glands of the head. Studies on the physiology and pathophysiology of parotid secretion. Adv Otorhinolaryngol 26:1–38PubMed
54.
Zurück zum Zitat Mandel L, Hamele-Bena D (1997) Alcoholic parotid sialadenosis. J Am Dent Assoc 128:1411–1415CrossRefPubMed Mandel L, Hamele-Bena D (1997) Alcoholic parotid sialadenosis. J Am Dent Assoc 128:1411–1415CrossRefPubMed
55.
Zurück zum Zitat Coleman H, Altini M, Nayler S, Richards A (1998) Sialadenosis: a presenting sign in bulimia. Head Neck 20:758–762CrossRefPubMed Coleman H, Altini M, Nayler S, Richards A (1998) Sialadenosis: a presenting sign in bulimia. Head Neck 20:758–762CrossRefPubMed
56.
Zurück zum Zitat Scott J, Flower EA, Burns J (1987) A quantitative study of histological changes in the human parotid gland occurring with adult age. J Oral Pathol 16:505–510CrossRefPubMed Scott J, Flower EA, Burns J (1987) A quantitative study of histological changes in the human parotid gland occurring with adult age. J Oral Pathol 16:505–510CrossRefPubMed
57.
58.
Zurück zum Zitat Tham KT, Leung PC, Saw D, Gwi E (1981) Kimura’s disease with salivary gland involvement. Br J Surg 68:495–497CrossRefPubMed Tham KT, Leung PC, Saw D, Gwi E (1981) Kimura’s disease with salivary gland involvement. Br J Surg 68:495–497CrossRefPubMed
Metadaten
Titel
Schwellungen der Glandulae submandibularis und parotis
Beschreibung möglicher Differenzialdiagnosen
verfasst von
Dr. med. univ. B. Hofauer
A. Chaker
T. Strenger
M. Bas
N. Mansour
A. Knopf
Publikationsdatum
01.05.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
HNO / Ausgabe 5/2016
Print ISSN: 0017-6192
Elektronische ISSN: 1433-0458
DOI
https://doi.org/10.1007/s00106-016-0158-2

Weitere Artikel der Ausgabe 5/2016

HNO 5/2016 Zur Ausgabe

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.