Acquired Wharton's duct stenosis after dental radiographs treated with sialendoscopy

Document Type

Journal Article

Publication Date

4-26-2015

Journal

BMJ Case Reports

Volume

2015

DOI

10.1136/bcr-2014-209117

Abstract

Salivary gland trauma may result in ductal stenosis and chronic sialadenitis. We describe a case of an 81-yearold woman with a history of intermittent left submandibular swelling that began after recent dental examination and radiographs. Diagnostic sialendoscopy was performed and demonstrated a near complete distal stenosis. It was determined that trauma experienced during dental radiography may have resulted in the patient's ductal obstruction and subsequent sialadenitis. This case illustrates an unusual presentation of nonsialolith- related ductal obstruction in the submandibular gland, treated with sialendoscopic-assisted sialodochoplasty.

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