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Title: Difculties in Diagnosis of Sialolithiasis: A Case Series
Authors: Kolomiets, S.
Udaltsova, K.
Khmil, T.
Yelinska, A.
Pisarenko, O.
Shynkevych, V.
Коломієць, Світлана Веніамінівна
Удальцова, Кристина Олександрівна
Хміль, Тетяна Андріївна
Єлінська, Аліна Миколаївна
Писаренко, Олена Анатоліївна
Шинкевич, Вікторія Ігорівна
Issue Date: 2018
Publisher: Tokyo Shika Daigaku
Citation: Difculties in Diagnosis of Sialolithiasis: A Case Series / S. Kolomiiets, K. Udaltsova, T. Khmil [et al.] // Bull Tokyo Dent Coll. – 2018. – Vol. 59 (1). – P. 53–58.
Abstract: 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 fndings on 3D-CT may lead to a misdiagnosis are also discussed. In the frst case, that of a 45-year-old woman, a fnal 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 fndings 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 inclinical practice.
Keywords: Diagnosis
Submandibular salivary gland
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