Journal article
Eosinophilic Sialodochitis Identified in Duct Remnant After Submandibular Gland Resection
World journal of otorhinolaryngology - head and neck surgery
09/28/2026
DOI: 10.1002/wjo2.70173
PMID: 42812743
Abstract
Eosinophilic sialodochitis (ES) is an increasingly recognized cause of recurrent sialadenitis but likely remains underdiagnosed as it is commonly considered to be nonspecific chronic sialadenitis. ES is likely increasing in prevalence in association with the growing number of allergic diseases and should be considered in patients presenting with multiple episodes of salivary gland pain and swelling refractory to conventional treatment. We highlight this difficulty in diagnosis with a report of ES established following Wharton duct remnant swelling after submandibular gland (SMG) resection for stone removal with photographic, histopathologic, and radiographic analysis. Eosinophilic sialodochitis (ES) is likely underdiagnosed and should be considered in patients with atopy and recurrent salivary gland swelling refractory to standard treatments.Sialolithiasis, Sjögren's syndrome, and IgG4‐related disease are important diagnostic confounders that must be systematically excluded.ES may persist as a ductal disease after gland resection, underscoring the importance of recognizing the duct remnant as a site of recurrence.
Details
- Title: Subtitle
- Eosinophilic Sialodochitis Identified in Duct Remnant After Submandibular Gland Resection
- Creators
- Edward Tannenbaum - University of IowaClaire Orth - University of IowaNicole Becker - University of IowaHenry Hoffman - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- World journal of otorhinolaryngology - head and neck surgery
- DOI
- 10.1002/wjo2.70173
- PMID
- 42812743
- ISSN
- 2095-8811
- eISSN
- 2589-1081
- Publisher
- Chinese Medical Association
- Grant note
- University of Iowa Hospitals and Clinics, Department of Otolaryngology Head and Neck Surgery Roy J. and Lucille A. Carver College of Medicine, University of Iowa
The authors have nothing to report. Edward Tannenbaum and Claire Orth are supported by the University of Iowa Carver College of Medicine Summer Research Fellowship Program and Department of Otolaryngology.
- Language
- English
- Electronic publication date
- 09/28/2026
- Academic Unit
- Pathology; Radiation Oncology; Otolaryngology
- Record Identifier
- 9985240903602771
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