Necrotizing sialometaplasia of tongue

Abstract

Necrotizing sialometaplasia, is a benign inflammatory lesion primarily involving the minor salivary glands of the hard palate. The lesion often presents itself as a deep-seated palatal ulcer with clinical and histological features similar to those of a malignant neoplasm. Here we report a case of necrotizing sialometaplasia in a 40-year-old female, present on the lateral border of the tongue, mimicking squamous cell carcinoma, clinically. A correct diagnosis to avoid mutilant surgical treatments is essential, considering that it is a self-limiting disease.

La sialométaplasie nécrosante : revue systématique de la littérature

“…Dans d'autres cas, un facteur traumatique (physique, chimique, thermique…) précédant la survenue de la SMN a été retrouvé : injections d'anesthésiques locaux et usage de produits chimiques lors des soins dentaires [15,[17][18][19][20][21][22][23], ingestion de boissons chaudes [24], port de prothèses dentaires [3, 8-11, 18, 21, 23, 25-39], intervention chirurgicale loco-régionale [18][19][20][21][22][23][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54]. Quelquefois, une tumeur des voies aéro-digestives supérieures susceptible de créer des modifications vasculaires loco-régionales était associée à la SMN [8, 10, 16, 23, 28, 38, 40-43, 45-48, 50, 53, 55-61].…”

Oral health: Praying for preventive care

“…1 Meanwhile, the oral health workforce is showing a dramatic rise: the number of dental schools has increased from 95 to 290 within the last 20 years and more than 25,000 dentists are graduating each year in India. 2 Most schools are in urban regions and partly as consequence the dentist-population ratio is as high as 1:4,000 in urban India while in rural areas can be as low as 1:30,000.…”

“…1 Prior to 2008 antibiotic prophylaxis in cases of certain cardiac diseases was considered the sheet anchor of dental therapeutics; suddenly, overnight, what had been repeatedly instilled was dismissed as wrong and a thinly veiled inference put abroad that if the GDP prescribed, as it was his or her signature on the script, and not the cardiologist who had advocated it, then in the event of any untoward reaction the buck stopped with the GDP. Medical colleagues continued to be adamant that prophylaxis was necessary.…”

Refugees in Jordan

“…Acute necrotising sialometaplasia is a rare, benign and self-limiting inflammatory condition of salivary gland tissue which occurs as a result of trauma causing the tissues to become ischaemic and necrotic. 1 It typically presents as a unilateral necrotic ulcer on the hard palate but is often preceded by a firm, fluctuant and often painful swelling which can mimic a dental abscess. 1 This condition has been associated with trauma, heavy smoking, excessive alcohol consumption and violent vomiting, such as in patients with bulimia, but can also occur following palatal infiltrations.…”