[논문]Toothache Caused by Sialolithiasis of the Submandibular Gland

Kim, Jae-Jeong; Lee, Hee Jin; Kim, Young-Gun; Kwon, Jeong-Seung; Choi, Jong-Hoon; Ahn, Hyung-Joon

doi:10.14476/jomp.2018.43.3.87

Toothache Caused by Sialolithiasis of the Submandibular Gland 원문보기

Journal of Oral Medicine and Pain, v.43 no.3, 2018년, pp.87 - 91

Kim, Jae-Jeong (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentisty) , Lee, Hee Jin (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentisty) , Kim, Young-Gun (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentisty) , Kwon, Jeong-Seung (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentisty) , Choi, Jong-Hoon (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentisty) , Ahn, Hyung-Joon (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentisty)

Abstract ▼ AI-Helper

Sialolithiasis is the most frequent disease of the salivary glands, causing swelling and/or pain of the affected site. We report a 44-year-old woman who presented with severe pain in the lower left second molar region without swelling. Sialoliths on her left submandibular gland were confirmed by radiographic examinations. After robot-assisted sialoadenectomy, the pain did not recur but remained facial paralysis and unaesthetic scar.

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표/그림 (4)

그림 Fig. 1. Panoramic radiograph showed radiopaque lesions on left submandibular area (arrow).
그림 Fig. 2. Computed tomographic image showed atrophied submandibular gland on left side (arrow).
그림 Fig. 3. (A) On salivary gland scintigraphy, severely decreased uptake to the left submandibular gland was observed (arrows). (B) Time-activity curves show a significant decrease of radioactivity of the left submandibular gland (LSM) before and after stimulation, comparing to other major salivary glands. ANT, anterior; LT_LAT, left lateral; RT_LAT, right lateral; RSM, right submandibular gland; RP, right parotid gland; LP, left parotid gland.
그림 Fig. 4. The affected submandibular gland was removed and two sialoliths were found inside the gland.

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성능/효과

(A) On salivary gland scintigraphy, severely decreased uptake to the left submandibular gland was observed (arrows). (B) Time-activity curves show a significant decrease of radioactivity of the left submandibular gland (LSM) before and after stimulation, comparing to other major salivary glands. ANT, anterior; LT_LAT, left lateral; RT_LAT, right lateral; RSM, right submandibular gland; RP, right parotid gland; LP, left parotid gland.

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