Difficulties in Diagnosis of Sialolithiasis: A Case Series

  • Veniaminivna Kolomiiets Svitlana
    Department of Postgraduate Education for Dentists, Higher State Educational Establishment of Ukraine “Ukrainian Medical Stomatological Academy”
  • Oleksandrivna Udaltsova Kristina
    Department of Postgraduate Education for Dentists, Higher State Educational Establishment of Ukraine “Ukrainian Medical Stomatological Academy”
  • Andriivna Khmil Tetiana
    Department of Postgraduate Education for Dentists, Higher State Educational Establishment of Ukraine “Ukrainian Medical Stomatological Academy”
  • Mykolaiivna Yelinska Alina
    Department of Postgraduate Education for Dentists, Higher State Educational Establishment of Ukraine “Ukrainian Medical Stomatological Academy”
  • Anatoliivna Pisarenko Olena
    Department of Postgraduate Education for Dentists, Higher State Educational Establishment of Ukraine “Ukrainian Medical Stomatological Academy”
  • Ihorivna Shynkevych Viktoriya
    Department of Postgraduate Education for Dentists, Higher State Educational Establishment of Ukraine “Ukrainian Medical Stomatological Academy”

この論文をさがす

抄録

<p>Sialolithiasis is one of the most common and extensively obstructive disorders of the major salivary glands. Here, we report 3 cases of sialolithiasis in the submandibular salivary gland showing symptomatic similarities to other dental and non-dental disorders of the maxillofacial area. How the various clinical features of this condition and findings on 3D-CT may lead to a misdiagnosis are also discussed. In the first case, that of a 45-year-old woman, a final diagnosis of a non-radiopaque submandibular sialolith allowed the initially indicated surgical extraction of a malerupted and semi-impacted right mandibular 3rd molar to be abandoned. In the second case, that of a 57-year-old woman, radiographic findings had previously led to a diagnosis of ameloblastoma, which had masked the presence of sialolithiasis for at least 9 years, despite the radiopacity of the sialolith. Meanwhile, exacerbation of sialolithiasis was mistaken for lymphadenitis. In the third case, that of a 40-year-old woman, sialolithiasis was diagnosed in a timely manner, despite the fact that the dentists' attention had initially been focused on odontopathological symptoms. One feature of the present report is the concurrence of dental and non-dental pathologies affecting the same sextant as the sialolithiasis. Despite recent advances in imaging technology and diagnostics, cases of sialolithiasis being misdiagnosed continue to occur in clinical practice.</p>

収録刊行物

参考文献 (8)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ