There were examined and treated 181 patients with sialolithiasis in the period of the disease exacerbation. About 30% of the patients were directed to the clinic with mistaken diagnoses. Out of diagnostic techniques in the period of exacerbation there were employed external and bimanual palpation of the inflamed gland region. The most diagnostic value in the period of sialolithiasis exacerbation had X-ray and computer sialotomography (it allowed to diagnose salivary calculi in 98% of the cases). In the period of sialadenitis exacerbation sialotomography is not recommended for use. Ultrasound diagnostics let to reveal concretions of big sizes. Treatment of patients in the acute period of sialolithiasis included salivary gland duct system sanation with antiseptics use and external blockades.
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