Necrotizing sialometaplasia: an unusual bilateral presentation associated with antecedent anaesthesia and lack of response to intralesional steroids. Case report and review of the literature.

Abstract

Necrotizing sialometaplasia is a self-limiting, variably ulcerated benign process affecting minor salivary glands. Accurate histological diagnosis is paramount, as it has been mistaken for malignancy, which has resulted in excessively aggressive and unnecessary radical surgery. A unique case of bilateral necrotizing sialometaplasia, presenting with anaesthesia of the greater palatine nerves, is described. An attempt at active therapy with intralesional steroids had no effect on the course of the condition.

• Authors: P V Keogh, E O'Regan, M Toner, S Flint
• Journal: British dental journal (Br Dent J) Vol. 196 Issue 2 Pg. 79-81 (Jan 24 2004) ISSN: 0007-0610 [Print] England
• PMID: 14739958 (Publication Type: Case Reports, Journal Article, Review)

Chemical References

• Glucocorticoids
• Triamcinolone

Topics

• Adult
• Diagnosis, Differential
• Female
• Glucocorticoids (therapeutic use)
• Humans
• Hypesthesia (etiology)
• Injections, Intralesional
• Palate (innervation)
• Sialometaplasia, Necrotizing (pathology)
• Triamcinolone (therapeutic use)