Salivary Gland Trauma: A Review of Diagnosis and Treatment

Lazaridou, Maria; Iliopoulos, Christos; Antoniades, K.; Tilaveridis, Ioannis; Dimitrakopoulos, Ioannis; Lazaridis, Nikolaos

doi:10.1055/s-0032-1313356

Cited by 52 publications

(62 citation statements)

References 31 publications

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“…Patients with an extended burn injury to the upper limbs, hands and fingers could have a greater disadvantage to carry out oral hygiene care effectively and could partly explain the lower frequency of brushing in the sample [32, 33]. It is also plausible, in really severe burn cases where the salivary glands are affected, that the salivary flow is reduced and the longer time elapsed after the burn incident only increases the period of exposure of the teeth and oral structures to plaque and the risk of developing caries [34]. Changes to facial appearance could also impact on self-esteem and depression and; these have been reported to affect health behavior [35].…”

Section: Discussionmentioning

confidence: 99%

Dental health status and oral health behaviours of patients with facial burn in Pakistan

2019

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Background There is a limited understanding about the oral health of patients with facial burn, hence the aim was to describe the oral health status and the related risks factors. Methods This cross-sectional study had randomly and systematically recruited facial burn patients from the Burn Care Center, Pakistan Institute of Medical Sciences, Islamabad, from June of 2016 to July of 2017. Intraoral examination recorded the DMFT, CPI and OHI-S. Information on the socio-demographic status, self-perceived oral health, oral health behaviours were collected using a self-administered questionnaire and; the burn characteristics were obtained from the patients’ medical record. The t-test, ANOVA, SLR, and chi-square test were used to examine the relationship between oral health and each factor. A parameter was derived from the clinical indices using the principal component analysis and used in the multiple linear regression analysis to determine the important factors associated with oral health status. Results A total of 271 burn patients (69% female and 31% male) had participated in the study. All of the participants had caries with mean DMFT = 10.96 (95%CI: 10.67, 11.25). There were 59.0% (95%CI: 53.15, 64.93%) and 66.1% (95%CI: 60.38, 71.73%) of the participants who had periodontitis and poor oral hygiene respectively. About 79 and 80% of the participants rated their dental and periodontal status as poor. About 78% reported brushing once daily and 89% did not practice regular dental visit. The DMFT, CPI and OHI-S were associated with the burn characteristics and oral health behaviours ( p < 0.05). Dental anxiety, cost and social issues were the most cited reasons for not utilising oral health services. Greater burn severity, the longer time elapsed since the burn incident, and dental anxiety were associated with poorer oral health status and; brushing twice or more and regular dental visit, with better status ( p < 0.01). Conclusion Patients with oro-facial burn injury had a generally poor oral health and, the risks are greater in those with a more severe and wider area of injury, the longer time elapsed since the burn incident and dental anxiety; but a good oral hygiene practice and regular dental visits were protective against the risk.

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Section: Discussionmentioning

confidence: 99%

Dental health status and oral health behaviours of patients with facial burn in Pakistan

2019

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“…Parotid duct injuries are best repaired early at the initial surgical exploration of the wound to assure an optimum outcome [8]. Sialoceles and fistulas are the most common complications following injuries to the parotid region.…”

Section: Discussionmentioning

confidence: 99%

Globe rupture caused by a camel bite

Balac¹,

Al-Ali²,

AlMahmoud³

et al. 2019

Trauma Case Reports

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Camel bites are uncommon. They are more common during the rutting season where male camels become more aggressive. Herein, we report a unique case of a 25-year-old man who was repeatedly bitten to his face and neck by an aggressive camel that resulted in left eye evisceration, parotid duct, and facial nerve injury. To our knowledge, Globe rupture caused by a camel bite has not been previously reported.

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“…The removal of invasive tumors in this area is very likely to result in parotid duct lesion, due to the duct being included in tumor block resection, as may have occurred in the reported case. 4 …”

Section: Discussionmentioning

confidence: 99%

“…If it appears late, the conservative treatment, with external pressure and anticholinergic drugs, is recommended. 4 The way the fistula will be handled will depend on when it appears, on its complexity, on the area, and on the lesion's etiology. 1 …”

Section: Discussionmentioning

confidence: 99%

Primary treatment of early fistula of parotid duct with botulinum toxin type A injection

Ferron

Cernea

Almeida

et al. 2017

An. Bras. Dermatol.

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Salivary duct injury can be idiopathic, iatrogenic, or post-trauma and may result in sialocele or fistula. Most injuries regress spontaneously and botulinum toxin A is one of several therapeutic possibilities. We report a case of iatrogenic injury to the parotid duct after Mohs' micographic surgery for a squamous cell carcinoma excision in the left jaw region, treated by injection of botulinum toxin type A. Although the fistula by duct injury can be self-limiting, botulinum toxin injection by promoting the inactivity of the salivary gland allows rapid healing of the fistula.

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Salivary Gland Trauma: A Review of Diagnosis and Treatment

Cited by 52 publications

References 31 publications

Dental health status and oral health behaviours of patients with facial burn in Pakistan

Dental health status and oral health behaviours of patients with facial burn in Pakistan

Globe rupture caused by a camel bite

Primary treatment of early fistula of parotid duct with botulinum toxin type A injection

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