What Is Sialosis?

Sialosis is a benign, non-inflammatory enlargement of the salivary glands. It most often affects both parotid glands equally, leading to a fuller, "chipmunk-cheek" appearance. Crucially, this swelling is typically painless and is not caused by an infection, stone, or tumour. Instead, sialosis is considered a physical manifestation of an underlying systemic issue. Common causes include endocrine disorders like diabetes, nutritional imbalances associated with alcoholism or eating disorders, and reactions to certain medications. While the primary symptom is the cosmetic change in facial appearance, the importance of the diagnosis lies in identifying and managing the root medical condition.

Dysphagia swallowing evaluation at ENT Central

Is a Sialosis Evaluation the Right Option for Me?

A specialist evaluation is essential to determine the cause of any persistent facial swelling. An evaluation for sialosis is appropriate if you have:

  • Persistent, symmetrical swelling on both sides of your face, typically below the ears
  • Facial swelling that is soft, generally painless, and not tender to the touch
  • Swelling that does not change or noticeably worsen when you eat
  • A gradual change in your facial appearance over a period of months or years
  • A known underlying medical condition (e.g., diabetes, malnutrition, thyroid issues)
  • A desire for a definitive diagnosis and to rule out other gland problems
ENT Central Logo
Swallowing therapy for dysphagia at ENT Central

What Are the Benefits of a Specialist Sialosis Diagnosis?

Receiving an accurate diagnosis for persistent gland swelling from Dr. Basheeth is a critical step for your overall health. The benefits of this specialized evaluation include:

  • Provides a definitive and accurate diagnosis of your condition
  • Crucially rules out tumours, stones, or chronic infections
  • Prevents unnecessary or incorrect treatments
  • Identifies the need to investigate underlying health issues
  • Establishes a clear pathway for appropriate medical management
  • Facilitates coordinated care with other medical specialists
  • Offers peace of mind by explaining the cause of the swelling
  • Avoids the significant risks of unnecessary gland surgery
  • Focuses all treatment efforts on the true root cause
  • Expert interpretation of all diagnostic tests

How Is a Sialosis Diagnosis Different From Other Evaluations?

The diagnostic process for sialosis is fundamentally different from that of other salivary gland problems. While evaluations for stones or infections focus on finding a direct cause within the gland using imaging, a sialosis workup is a process of elimination that points toward a systemic cause. After ruling out local pathology with a physical examination and imaging, the investigation expands to include a thorough review of your medical history and blood tests to uncover the underlying metabolic, nutritional, or hormonal imbalance responsible for the swelling.

Is There a Recovery Period for Sialosis?

As sialosis is a sign of another medical condition, there is no "recovery period" in the typical sense. The goal is not to treat the glands directly, but to manage the underlying cause. Any improvement in the glandular swelling is gradual and directly dependent on how well the root condition—such as diabetes or a nutritional deficiency—is controlled. Dr. Basheeth will guide you on the expected course and coordinate with other specialists to manage your overall health effectively.

Why Choose Dr. Naveed Basheeth: Excellence in Sialosis Diagnosis

Dr. Naveed Basheeth is an internationally fellowship-trained ENT and Head and Neck surgeon with deep expertise in diagnosing complex salivary gland disorders. He plays a crucial role in accurately distinguishing sialosis from conditions that may require surgery, thereby preventing unnecessary procedures and their associated risks. Trust Dr. Basheeth to provide a precise diagnosis and guide you toward the appropriate medical management for the true underlying cause of your symptoms.

Sialosis FAQs

If the swelling is not painful, why do I need to get it checked?

Will surgery fix the swelling of sialosis?

Can sialosis turn into cancer?

How is sialosis actually treated?

If the swelling is not painful, why do I need to get it checked?

Even though the swelling itself is painless, it can be a visible sign of a significant underlying health problem, such as undiagnosed diabetes, a nutritional disorder, or liver disease. Getting an accurate diagnosis from a specialist is essential for managing your overall health.

Will surgery fix the swelling of sialosis?

Surgery (like removing the parotid gland) is generally not recommended or indicated for sialosis. Because the problem is systemic and not local to the gland, surgery does not fix the root cause. It is reserved for extremely rare cases and carries significant risks, including potential damage to the facial nerve.

Can sialosis turn into cancer?

No. Sialosis is a benign, non-cancerous condition. A key purpose of a specialist evaluation is to perform a thorough assessment to confirm that the swelling is indeed sialosis and not a salivary gland tumour, which is a different condition altogether.

How is sialosis actually treated?

The treatment for sialosis is the treatment of the underlying medical condition that is causing it. This typically involves working closely with your GP or another specialist (like an endocrinologist) to manage blood sugar, improve nutrition, review your medications, or address any other metabolic imbalance that has been identified.

Referral Pathway: We provide online consultations within two weeks of referral for out-of-town residents. Relevant investigations, radiological and laboratory, can be undertaken in the patient's city. Private and outsourced referrals can be sent to: admin@entcentral.co.nz (347) 557-8368.
Contact Us