Jemds.Com Original Article
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
An Approach to the Patient with a Dry Mouth
MedicineToday 2014; 15(4): 30-37 PEER REVIEWED FEATURE 2 CPD POINTS An approach to the patient with a dry mouth Key points • The subjective complaint of ELHAM AFLAKI MD; TAHEREH ERFANI MD; NICHOLAS MANOLIOS MB BS(Hons), PhD, MD, FRACP, FRCPA; xerostomia needs to be MARK SCHIFTER FFD, RCSI(Oral Med), FRACDS(Oral Med) differentiated from true salivary hypofunction. Dry mouth is a common and disabling problem. After exclusion of treatable • Salivary hypofunction can significantly reduce quality causes, treatment is symptomatic to prevent the consequences of salivary of life through its adverse hypofunction, such as tooth decay and infection of the oral mucosa. effects on taste, mastication, swallowing, cleansing of the erostomia, or the subjective feeling of neuropathic-induced orofacial dysaesthesia) mouth, killing of microbes a dry mouth, is a common complaint. and psychological and psychiatric disorders, and speech. It is often a consequence of salivary such as anxiety and depression. • Salivary hypofunction is a hypofunction (hyposalivation), in substantive risk factor for X which there is objective evidence of reduced NORMAL SALIVA PRODUCTION dental caries, oral mucosal salivary output or qualitative changes in saliva. Under normal physiological conditions, the disease and infection, Typically, patients complain of oral dryness salivary glands produce 1000 to 1500 mL of particularly oral candidiasis. only when salivary secretion is reduced by more saliva daily as an ultrafiltrate from the circu- • Patients should be than half.1 As saliva has a crucial role in taste lating plasma. Therefore, simple dehydration investigated for contributory perception, mastication, swallowing, cleansing reduces saliva production. The parotid glands and underlying causes, of the mouth, killing of microbes and speech, are the major source of serous saliva (60 to 65% which include drugs and abnormalities in saliva production can signif- of total saliva volume), producing the stimu- rheumatological diseases. -
Parotid Sialolithiasis and Sialadenitis in a 3-Year-Old Child
Ahmad Tarmizi et al. Egyptian Pediatric Association Gazette (2020) 68:29 Egyptian Pediatric https://doi.org/10.1186/s43054-020-00041-z Association Gazette CASE REPORT Open Access Parotid sialolithiasis and sialadenitis in a 3- year-old child: a case report and review of the literature Nur Eliana Ahmad Tarmizi1, Suhana Abdul Rahim2, Avatar Singh Mohan Singh2, Lina Ling Chooi2, Ong Fei Ming2 and Lum Sai Guan1* Abstract Background: Salivary gland calculi are common in adults but rare in the paediatric population. It accounts for only 3% of all cases of sialolithiasis. Parotid ductal calculus is rare as compared to submandibular ductal calculus. Case presentation: A 3-year-old boy presented with acute painful right parotid swelling with pus discharge from the Stensen duct. Computed tomography revealed calculus obstructing the parotid duct causing proximal ductal dilatation and parotid gland and masseter muscle oedema. The child was treated with conservative measures, and subsequently the swelling and calculus resolved. Conclusions: Small parotid duct calculus in children may be successfully treated with conservative measures which obviate the need for surgery. We discuss the management of parotid sialolithiasis in children and conduct literature search on the similar topic. Keywords: Sialolithiasis, Sialadenitis, Salivary calculi, Parotid gland, Salivary ducts, Paediatrics Background performing computed tomography (CT) of the neck. Sialolithiasis is an obstructive disorder of salivary ductal The unusual presentation, CT findings and its subse- system caused by formation of stones within the salivary quent management were discussed. gland or its excretory duct [1]. The resulting salivary flow obstruction leads to salivary ectasia, gland dilatation Case presentation and ascending infection [2]. -
Case of Suspected Sialodochitis Fibrinosa (Kussmaul’S Disease)
Bull Tokyo Dent Coll (2016) 57(2): 91–96 Case Report doi:10.2209/tdcpublication.2015-0028 Case of Suspected Sialodochitis Fibrinosa (Kussmaul’s Disease) Kamichika Hayashi1), Takeshi Onda1), Hitoshi Ohata1), Nobuo Takano2) and Takahiko Shibahara1) 1) Department of Oral and Maxillofacial Surgery, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba 261-8502, Japan 2) Oral Cancer Center, Tokyo Dental College, 5-11-13 Sugano, Ichikawa, Chiba 272-8513, Japan Received 14 September, 2015/Accepted for publication 12 January, 2016 Abstract Here we report a case of Kussmaul’s disease, or sialodochitis fibrinosa. This rare disease is characterized by recurrent swelling of the salivary glands, which then discharge clots of fibrin into the oral cavity. An 80-year-old man with a history of allergic rhinitis visited our department with the chief complaint of pain in the bilateral parotid gland area on eating. An initial examination revealed mild swelling and tenderness in this region, and indurations could be felt around the bilateral parotid papillae. Pressure on the parotid glands induced discharge of gelatinous plugs from the parotid papillae. No pus was discharged, and there were no palpable hard objects. Panoramic X-ray showed no obvious focus of dental infection, and there was no calcification in the parotid gland region. Magnetic resonance imaging revealed segmental dilatation of the main ducts of both parotid ducts, with no signs of displacement due to sialoliths or tumors, or of abnormal saliva leakage. Two courses of antibiotic therapy resulted in no improvement. During treatment, gelatinous plugs (fibrin clots) obstructing the left parotid duct were dislodged by massage, which prevented further blockage by encouraging salivary outflow. -
The CT and MRI Findings of Fibrinous Sialodochitis ISSN 2474-3666
ISSN 2474-3666 Case Report Mathews Journal of Case Reports The CT and MRI Findings of Fibrinous Sialodochitis Ai Usami1, Naoya Kakimoto2, Tomonao Aikawa3, Sosuke Takahata3, Mitsunobu Kishino4, Ryoko Okahata1, Tomomi Tsu- jimoto1, Yuka Uchiyama1, Tadashi Sasai1, Shumei Murakami1 1Department of Oral and Maxillofacial Radiology, Osaka University Graduate School of Dentistry. 2Department of Oral and Maxillofacial Radiology, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University. 3The First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry 4Department of Oral Pathology, Osaka University Graduate School of Dentistry Corresponding Author: Ai Usami, Department of Oral and Maxillofacial Radiology, Osaka University Graduate School of Den- tistry, 1-8 yamadaoka, Suita, Osaka 556-0871, Japan, Tel: +81-6-6879-2967; Email: [email protected] Received Date: 29 Sep 2016 Copyright © 2016 Usami A Accepted Date: 17 Nov 2016 Citation: Usami A, Kakimoto N, Aikawa T, Takahata S, et al. Published Date: 18 Nov 2016 (2016). The CT and MRI Findings of Fibrinous Sialodochitis. M J Case. 1(4): 019. ABSTRACT Fibrinous sialodochitis is a very rare disease in which the recurrent swelling of the salivary gland is caused by the ob- struction of the glandular duct by a fibrinous material. Few studies have reported both the computed tomography (CT) and magnetic resonance imaging (MRI) findings of fibrinous sialodochitis. We reported a forty-nine-year-old man with this disease including CT and MRI findings. His chief complaint was the recurrent swelling of the bilateral submandibular regions. When his primary dentist pushed them strongly, a whitish jelly-like material and a large amount of clear saliva were expelled from the duct orifices of the submandibular glands. -
Prevalence of Salivary Gland Disease in Patients Visiting a Private Dental
European Journal of Molecular & Clinical Medicine ISSN 2515-8260 Volume 07, Issue 01, 2020 PREVALENCE OF SALIVARY GLAND DISEASE IN PATIENTS VISITING A PRIVATE DENTAL COLLEGE 1Dr.Abarna Jawahar, 2Dr.G.Maragathavalli, 3Dr.Manjari Chaudhary 1Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, India 2Professor, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences(SIMATS), Saveetha University, Chennai, India 3Senior Lecturer, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences(SIMATS), Saveetha University, Chennai, India [email protected] [email protected] [email protected] ABSTRACT: The aim of the study was to estimate the prevalence of salivary gland diseases in patients visiting a private dental college. A retrospective analysis was conducted on patients who visited the Department of Oral Medicine from March 2019 to March 2020.Clinically diagnosed cases of salivary gland diseases which included salivary gland neoplasms, xerostomia, necrotizing sialometaplasia, mucocele, ranula, sjogren’s syndrome, sialodochitis, sialadenitis were included in the study.The details of each case were reviewed from an electronic database.From the study we found that 17 patients were diagnosed with salivary gland disease.The most commonly observed salivary gland disease was mucocele of the lip with a frequency of 41.17% in the study population followed by xerostomia (17.65%).Salivary gland disease can occur due to variable causes and might significantly affect the quality of life and daily functioning.Only with a thorough knowledge of the subject it is possible to detect the diseases of the salivary gland in their early stage and manage them more efficiently. -
Paediatric Surgery: a Comprehensive Text for Africa
CHAPTER 39 Salivary Gland Diseases in Children and Adolescents Sunday Olusegun Ajike Kokila Lakhoo Introduction Table 39.1: Classification of salivary gland diseases in children. Salivary glands are found in and around the oral cavity, and they are Nonneoplastic tumours divided into major and minor salivary glands. The major salivary Congenital/developmental glands are the parotid, submandibular, and sublingual glands; the minor Agenesis/aplasia, hypogenesis/hypoplasia salivary glands are located in the lips, buccal mucosa, palate, and throat. Generally, salivary gland diseases are not common in the paediat- Aberrant/ectopic salivary gland ric population. The classification of salivary gland diseases is very Haemangioma complex because it encompasses different entities; however, precise Lympangioma classification and terminology are necessary for accurate diagnosis Inflammatory and infection. and management. As in adults, diseases of the salivary glands may be Acute sialadentis nonneoplastic or neoplastic (tumours) (Table 39.1). The pattern of inci- dence in the paediatric population differs greatly from that in the adult Mumps, cytomegalovirus, Coxasackie A or B or parainfluenza virus) group. Most salivary gland lesions in children are either inflammatory Human immunodeficiency virus (HIV)-associated salivary glands or vascular in origin. Of the developmental salivary gland diseases, Recurrent parotitis in children (RPC) haemangiomas are the most common. In the African paediatric popula- Autoimmune tion, mumps is the most common in the inflammatory/infection group, Sjogren’s syndrome but in the developed world, only sporadic cases of mumps are now reported, and rhabdomyosarcomas are the most common nonodonto- Cysts genic mesenchymal tumours in children. Ranula mucocele (mucous retention cyst) Neoplastic changes in the paediatric population are very rare Salivary gland dysfunction compared to the inflammatory groups. -
Unusual Cancer in Primary Sjögren Syndrome
Case Report Unusual cancer in primary Sjögren syndrome Wen-Sen Lai MD Feng-Cheng Liu MD PhD Chih-Hung Wang MD PhD Hsin-Chien Chen MD PhD jgren syndrome (SS) is the second most common secondary SS described in the literature to date.3 Here Sautoimmune disease, affecting mainly middle-aged we describe a case of NPC in a patient with primary SS. women. The disease might occur alone (primary SS) or in association with other autoimmune diseases such Case as rheumatoid arthritis (secondary SS). The important A 58-year-old woman with a 2-year history of symp- symptoms of SS, dry mouth (xerostomia) and dry eyes tomatic dry eye and mouth was diagnosed with pri- (keratoconjunctivitis sicca), result from lymphocytic infl- mary SS. Initial general physical examination revealed tration and destruction of the exocrine glands, particu- conjunctival congestion and mucosal atrophy of the larly the salivary and lacrimal glands.1 Patients with tongue with atrophic glossitis. Laboratory serologic SS have an elevated risk of developing malignant neo- analysis showed positive titres for antinuclear anti- plasms, particularly hematologic malignancies, with bodies (1:1280, speckled) and anti–Sjgren syndrome most being non-Hodgkin B-cell lymphoma.2 Other can- antigens A and B (>240 U/mL and 172 U/mL, respec- cers, such as oral cancer, breast cancer, and thymoma, tively). Screening for SS showed decreased salivary might also occur in patients with SS. However, the coex- gland function and globular sialectasis on parotid istence of SS with nasopharyngeal carcinoma (NPC) sialography. Results of a Schirmer test during the oph- has rarely been reported, with only one case involving thalmologic examination were positive for dry eyes, and a labial salivary gland biopsy (Figure 1) revealed focal chronic sialadenitis characterized by intense lymphocytic inflammatory infiltrate (focus score >2; EDITOR’S KEY POINTS >100 lymphocytes/4 mm2 of glandular tissue). -
Salivary Gland Disorders and Tumours
Salivary gland disorders and tumours Sumamry This lesson is one we all tend to avoid because most of them sound the same! Hopefully this lesson will help you with clarification. Introduction to Salivary gland disorders and tumours: List of Salivary gland disorders and tumours Viral sialadenitis (mumps) Bacterial sialadenitis Sialosis (sialadenosis) Sialolithiasis Mucocele Acute Necotising Sialometaplasia Tumours: Pleomorphic adenoma Warthins Tumour Mucoepidermoid carcinoma Adenoid cystic carcinoma Acinic cell carcinoma Low-grade polymorphic adenoma Sjogren's syndrome Xerostomia Sialorrhea ReviseDental.com Key words: Sialosis non-pathogenic, non-neoplastic increase in salivary gland size Sialodenitis ductal infection Sialolithiasis duct obstruction Sialectasis cystic widening of the duct Sialorrhea excessive salivation/drooling (1) Acute Viral Sialadenitis Aetiology and epidemiology Common in the childhood disease Mumps caused by the RNA virus Parmyxovirus Typically affects the parotid gland Spread by droplet spread or direct contact 2-3 week incubation period precedes the clinical symptoms Can cause extrasalivary manifestations such as Orchitis Oophoritis Pancreatitis Clinical features Painful Typically bilateral enlargement of parotid glands Skin over the glands is not affected which distinguishes from bacterial sialodenitis Malaise, fever and headaches Histopathology Accumulation of neutrophils and fluid in the lumen of the ductal structures Diagnosis Made on clinical presentation Management FluidsReviseDental.com and medication for -
Specificity of Parotid Sialendoscopy
The Laryngoscope Lippincott Williams & Wilkins, Inc., Philadelphia © 2001 The American Laryngological, Rhinological and Otological Society, Inc. Specificity of Parotid Sialendoscopy Francis Marchal, MD; Pavel Dulguerov, MD, PD; Minerva Becker, MD; Gerard Barki; François Disant, MD; Willy Lehmann, MD Objective: To present our initial experience with INTRODUCTION sialendoscopy of the parotid duct. Study Design: An obstructive disease is the usual diagnosis in case of Methods: Diagnostic and interventional sialendos- unilateral diffuse parotid swelling (after exclusion of mumps copy procedures were performed in 79 and 55 cases, parotitis). The classic attitude is an antibiotic and anti- respectively. Diagnostic sialendoscopy was used to inflammatory treatment, followed by radiological studies, classify ductal lesions into sialolithiasis, stenosis, sia- usually sialography,1 which is still considered the gold stan- lodochitis, and polyps. Interventional sialendoscopy dard. Diagnostic sialendoscopy is a recent procedure2,3 al- was used to treat these disorders. The type of endo- scope used, the type of sialolithiasis fragmentation lowing complete visualization of the ductal system and its and/or extraction device used, the total number of diseases and disorders. Major advances in optical technolo- procedures, the type of anesthesia, and the number gies and the development of semirigid sialendoscopes are and size of the sialoliths removed were the dependent responsible for significant progress in salivary gland endos- variables. The outcome variable was the endoscopic copy.4,5 This procedure, by allowing the complete exploration clearing of the ductal tree and resolution of symp- of the salivary ductal system, is positioned to replace sialog- toms. Results: Diagnostic sialendoscopy was possible raphy and other radiological studies6 because of its higher ؎ in all cases, with an average duration of 26 14 min- specificity and cost-effectiveness. -
Article Reference
Article Specificity of parotid sialendoscopy MARCHAL, Francis, et al. Abstract To present our initial experience with sialendoscopy of the parotid duct. Reference MARCHAL, Francis, et al. Specificity of parotid sialendoscopy. Laryngoscope, 2001, vol. 111, no. 2, p. 264-71 DOI : 10.1097/00005537-200102000-00015 PMID : 11210873 Available at: http://archive-ouverte.unige.ch/unige:26081 Disclaimer: layout of this document may differ from the published version. 1 / 1 The Laryngoscope Lippincott Williams & Wilkins, Inc., Philadelphia © 2001 The American Laryngological, Rhinological and Otological Society, Inc. Specificity of Parotid Sialendoscopy Francis Marchal, MD; Pavel Dulguerov, MD, PD; Minerva Becker, MD; Gerard Barki; François Disant, MD; Willy Lehmann, MD Objective: To present our initial experience with INTRODUCTION sialendoscopy of the parotid duct. Study Design: An obstructive disease is the usual diagnosis in case of Methods: Diagnostic and interventional sialendos- unilateral diffuse parotid swelling (after exclusion of mumps copy procedures were performed in 79 and 55 cases, parotitis). The classic attitude is an antibiotic and anti- respectively. Diagnostic sialendoscopy was used to inflammatory treatment, followed by radiological studies, classify ductal lesions into sialolithiasis, stenosis, sia- usually sialography,1 which is still considered the gold stan- lodochitis, and polyps. Interventional sialendoscopy dard. Diagnostic sialendoscopy is a recent procedure2,3 al- was used to treat these disorders. The type of endo- scope used, the type of sialolithiasis fragmentation lowing complete visualization of the ductal system and its and/or extraction device used, the total number of diseases and disorders. Major advances in optical technolo- procedures, the type of anesthesia, and the number gies and the development of semirigid sialendoscopes are and size of the sialoliths removed were the dependent responsible for significant progress in salivary gland endos- variables. -
Mumps Virus: a Comprehensive Review
Journal Identification = VIR Article Identification = 0745 Date: August 8, 2018 Time: 5:59 pm Review Virologie 2018, 22 (4) : E14-E28 Mumps virus: a comprehensive review Thomas Mourez1 Abstract. Once very common in children, mumps virus infection is now much Julia Dina2 rarer thanks to vaccination, recommended in the majority of countries in the world. This virus of the family Paramyxoviridae has a marked tropism for glan- 1 Normandie Univ, dular tissues which explains the great diversity of pathologies related to this UniRouen, EA2656, virus, including parotitis, orchitis or meningitis. Due to the lower circulation CHU de Rouen, of the virus, the proportion of infected adults increases. A surveillance system Laboratoire de virologie, for mumps virus infections at the national and international levels is organized, 1, rue de Germont, particularly at the molecular level. In France, it is provided by the national refer- 76031 Rouen, France ence center for Measles, Mumps and Rubella. Although it has led to a significant <[email protected]> reduction in the number of cases, the long-term effectiveness of mumps vacci- 2 Normandie Univ, nation is questionable. The nature of the vaccine strains and the lack of regular UniCaen, EA2656, stimulation of populations by circulating wild viruses may explain, in part, the CHU de Caen, decrease in immunity over time. Thus, the vaccination recommandations could Laboratoire de virologie, evolve in the future to reach eradication in a medium or long term. Centre national de référence rougeole, oreillons, rubéole, Key words : mumps virus, paramyxoviridae, parotitis, vaccination Avenue Georges-Clemenceau 14033 Caen, France Résumé. Autrefois très fréquente chez les enfants, l’infection par le virus des oreillons est aujourd’hui beaucoup plus rare grâce à la vaccination, recommandée dans la majorité des pays dans le monde. -
Short Reports J Med Genet: First Published As 10.1136/Jmg.35.5.417 on 1 May 1998
JMed Genet 1998;35:417-419 417 Short reports J Med Genet: first published as 10.1136/jmg.35.5.417 on 1 May 1998. Downloaded from Autosomal dominant juvenile recurrent parotitis Evan Reid, Fiona Douglas, Yanick Crow, Anne Hollman, John Gibson Abstract panied by xerostomia. During acute attacks, Juvenile recurrent parotitis is a common there was swelling and mild erythema of the cause of inflammatory salivary gland right side of the face over the region of the swelling in children. A variety ofaetiologi- parotid gland. As commonly occurs in JRP, the cal factors has been proposed for the con- number of episodes of gland swelling started to dition. Here we present a family where lessen with the onset of puberty. Each acute four members had juvenile recurrent episode was managed with bed rest, adequate parotitis and where two other family hydration, and drug therapy (potent oral anal- members may have had an atypical form gesics and antibiotics). Her general health was of the condition. The segregation pattern otherwise good, she was taking no medications, in the family is consistent with autosomal and had no known allergies. dominant inheritance with incomplete On examination between attacks, there was penetrance and this suggests that, at least no residual salivary gland swelling and there in some cases, genetic factors may be was no tenderness around the head or implicated in juvenile recurrent parotitis. neck. A (J7Med Genet 1998;35:417-419) painless temperomandibular joint click was present on wide mouth opening. There was no Keywords: juvenile recurrent parotitis; autosomal domi- trismus and the teeth were not tender to nant percussion.