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PubMed2002

Saliva: a fountain of opportunity.

Saliva continues to demonstrate that it is more complex than generally perceived and has more diagnostic value than is generally appreciated. This article will review some of the components and functions of saliva; discuss its promise as a diagnostic aid; review some of the problems associated with inadequate salivary function; and, it is hoped, enhance oral health care providers' appreciation of the importance of saliva in everyday clinical practice.

Diagnosis↗
PubMed2005

Atypical facial pain--a diagnostic challenge.

BACKGROUND: Facial pain is a relatively frequent cause of presentation to both general medical and dental practitioners. Although in the vast majority of cases the cause is dental disease or tempero-mandibular joint dysfunction, the remaining patients are often difficult to diagnose and treat. OBJECTIVE: This article discusses the differential diagnosis of facial pain and presents three cases of atypical facial pain. DISCUSSION: A detailed history, clinical examination, imaging and laboratory investigations may be required to establish the cause of atypical facial pain. An assessment of the patient's mental state is mandatory, as depression or psychological overlay is common. In a small number of cases, the diagnosis remains unclear despite detailed investigation. These patients may have their symptoms ameliorated by empirical pharmacological therapy.

Aged↗
PubMed2006

Ultrasound as a diagnostic aid in head and neck lesions.

AIM: This article reviewed the diagnostic values of ultrasound in head and neck lesions with a view to emphasising its importance to Maxillo-Facial Surgeons in Nigeria. MATERIALS AND METHODS: A computerised literature search using MEDLINE was conducted for publications on ultrasonography in head and neck region. Mesh phrases used in the search were: ultrasound and head and neck; ultrasound and oral lesions. RESULTS: Ultrasound has been found to be a reliable and sensitive diagnostic tool in the diagnosis of soft tissue cysts, vascular neoplasms, deep neck abscesses, palatal tumours, salivary gland diseases, fractures of facial bone, solid and cystic lesions of the jaws, temporomandibular joint pathology, head and neck cancer and nodal metastases. Its sensitivity and specificity for some lesions have been found to be comparable to those of computerised tomography and magnetic resonance imaging. CONCLUSIONS: Ultrasound is an established valuable diagnostic tool for head and neck lesions. The success of ultrasonography is highly dependent on the frequency of the probe, the higher the resolution the better the accuracy. Its advantages include being non-invasive, without any known deleterious biological effect, rapid, painless, inexpensive and easily reproducible.

Head↗
PubMed1992

Head and neck.

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Diagnostic Imaging↗
PubMed1991

[Pseudotumoral salivary localization of Destombes-Rosai-Dorfman syndrome. Hemophagocytic histiocytosis. Diagnosed by bilateral submandibular and parotid involvement].

We report one case of pseudotumoral salivary location of the Rosai-Dorfman syndrome, with a favorable outcome, occurring in a 32-year-old man from Guadeloupe. The clinical, biological and clinicopathological features of this syndrome, as well as the pathogenetic hypotheses, are summed up. In this case, no bacterial, fungal, parasitic or viral agent was discovered. The subject presented with no immune abnormality likely to account for the persistence and intensity of the histiocytic infiltration with lymphophagocytosis associated to the lymphoplasmocytic infiltration. The rarity of ENT, and more specifically salivary, locations is emphasized. The importance of the detection of possible immune abnormalities in such patients is demonstrated by the outcome of the syndrome being more often unfavorable when such abnormalities are present.

Adult↗
PubMed1989

[Evaluation of photographic subtraction images obtained from sialograms].

Photographic subtraction used in the examination of salivary glands was compared with conventional sialography. Subtraction images obtained from the duct system of parotid glands demonstrated the same images as were obtained by conventional sialography. In duct system of the submaxillary glands, however, the conventional sialograms were clearer than those images obtained by subtraction procedures. Subtraction images could provide the outward form of salivary glands, especially in the parotid glands. In most cases, sialography with subtraction provides valuable informations in diagnosing salivary gland diseases. But, the results showed that the necessity of applying this modality must be examined carefully.

Humans↗
PubMed1977

Fatal mediastinitis after a dental infection.

The pertinent features of life-threatening complications of dental infections have been briefly reviewed with particular emphasis on the alterations of the clinical features of these conditions induced by antibiotic therapy. The clinician who deals with dental infections must exercise a high index of suspicion to consistently abort the development of these complications, especially when treating debilitated patients or individuals with compromised immune functions.

Abscess↗