학술논문
Potential airway compromise secondary to impacted Wharton's duct calculus: a noteworthy phenomenon.
Document Type
Article
Author
Source
Subject
*CLINDAMYCIN
*TREATMENT of respiratory obstructions
*DEXAMETHASONE
*COMPUTED tomography
*EDEMA
*INFLAMMATION
*RESPIRATORY obstructions
*SALIVARY gland diseases
*DISEASE complications
*DIAGNOSIS
*THERAPEUTICS
SALIVARY gland disease diagnosis
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Language
ISSN
0022-2151
Abstract
Objectives:This case report describes a patient who suffered an acute, severe complication of unilateral submandibular sialolithiasis, the disease process and management of these patients.Case report:A 70-year-old woman was under investigation for a recurrent, painful right submandibular swelling and subsequently presented with an acute exacerbation. She exhibited symptoms of acute submandibular sialadenitis, and also reported breathing difficulty and a change in voice quality. Computed tomography imaging showed that this was caused by a submandibular gland duct sialolith, with inflammation extending to the ipsilateral supraglottis. She was treated medically and the stone was removed when the inflammation had stabilised.Conclusion:This case highlights the need to thoroughly assess patients with neck swellings, especially when symptoms are atypical, to avoid life-threatening complications. [ABSTRACT FROM PUBLISHER]