Soft Palate Subacute Necrotising Sialadenitis: A Case Report

Upadhyay, Madhukar; Gupta, Vikas; Patnaik, Uma; Dwivedi, Gunjan; Kumar, Manoj; Sood, Amit

doi:10.1007/s12070-018-01570-1

Cited by 1 publication

(1 citation statement)

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“…Necrotizing sialometaplasia can affect major salivary glands, the nasal cavity, the maxillary sinus, and the larynx. Necrotizing sialometaplasia can induce the squamous metaplastic transformation in acinar cells, but subacute necrotizing sialadenitis of the soft palate does not [ 8 ]. Mucormycosis can clinically present as a necrotic ulcer on the hard palate but usually occurs in patients with uncontrolled diabetes mellitus or long-term antibiotic, steroid, or antifungal therapy.…”

Section: Discussionmentioning

confidence: 99%

Necrotizing Sialometaplasia: A Diagnostic Challenge to Oral Physicians

Senthilnathan¹,

Mohan²,

Fenn³

et al. 2022

Cureus

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Necrotizing sialometaplasia is a rare, reactive, self-limiting disorder affecting a minor salivary gland that clinically mimics malignancy. Chronic smoking, alcohol use, trauma to the hard palate caused by local anesthetic injection due to the vasoconstrictive action of adrenaline in local anesthetic, topical application of nonsteroidal anti-inflammatory drugs like flurbiprofen spray used in bronchial asthma, oral intubation procedures for general anesthesia, ill-fitting dentures, bulimia nervosa, and minor salivary gland tumors are some of the contributing factors linked to its development. In this article, we discuss a rare, reactive, selflimiting condition affecting minor salivary gland, necrotizing sialometaplasia that occurred on the right posterolateral hard palate region in a 57-year-old male chronic smoker, diagnosed by oral medicine specialist by clinical findings and radiological evaluation by cone beam computed tomography that healed rapidly in three days by itself without any treatment, that prevented unwanted biopsy or surgery.

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Section: Discussionmentioning

confidence: 99%