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An unusual giant subacute necrotizing sialadenitis as an emergency case of otolaryngology

Year 2009, Volume: 19 Issue: 4, 216 - 219, 18.08.2009

Abstract

Subacute necrotizing sialadenitis is an inflammatory necrotizing lesion occurring in minor salivary glands. Most cases occur in the palatal region. In this article, we reported a 36-year-old man referred to our clinic as an emergency with the complaints of excessive bleeding, airway obstruction and hipovolemia. Intraorally, there was a hemorrhagic, protruding giant mass in the palatal region. Following the first biopsy, which was not diagnostic, a second biopsy was performed. Histopathologic examination showed acinar cell necrosis and dense inflammation of the affected minor salivary glands in the second biopsy. The diagnosis of subacute necrotizing sialadenitis was made on the basis of clinical and histologic features of the lesion. Subacute necrotizing sialadenitis is a rare lesion, and admittance to the otolaryngology clinic as an emergency case is much rarer. To avoid unnecessary surgical intervention, it is necessary to diagnose subacute necrotizing sialadenitis correctly, which can be confused with malignant diseases of the salivary glands.

References

  • Lombardi T, Samson J, Küffer R. Subacute necrotizing sialadenitis: a form of necrotizing sialometaplasia? Arch Otolaryngol Head Neck Surg 2003;129:972-5.
  • Suresh L, Aguirre A. Subacute necrotizing sialad- enitis: a clinicopathological study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:385-90.
  • Fowler CB, Brannon RB. Subacute necrotizing sialad- enitis: report of 7 cases and a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:600-9.
  • Werning JT, Waterhouse JP, Mooney JW. Subacute necrotizing sialadenitis. Oral Surg Oral Med Oral Pathol 1990;70:756-9.
  • van der Wal JE, Kraaijenhagen HA, van der Waal I. Subacute necrotising sialadenitis: a new entity? Br J Oral Maxillofac Surg 1995;33:302-3.
  • Brannon RB, Fowler CB, Hartman KS. Necrotizing sia- lometaplasia. A clinicopathologic study of sixty-nine cases and review of the literature. Oral Surg Oral Med Oral Pathol 1991;72:317-25.
  • Rizkalla H, Toner M. Necrotizing sialometaplasia versus invasive carcinoma of the head and neck: the use of myoepithelial markers and keratin subtypes as an adjunct to diagnosis. Histopathology 2007; 51:184-9.
  • Kizilay A, Erdem T, Mizrak B, Bayindir T, Ozturan O. A case of necrotizing sialometaplasia in the upper lip. Kulak Burun Bogaz Ihtis Derg 2003;10:213-5.

Kulak Burun Boğaz acili olarak başvuran nadir büyüklükte subakut nekrotizan siyaladenit olgusu

Year 2009, Volume: 19 Issue: 4, 216 - 219, 18.08.2009

Abstract

Subakut nekrotizan siyaladenit, küçük tükürük bezlerinde görülen enflamatuvar nekrotizan bir hastalıktır. Olguların çoğu üst damak yerleşim- lidir. Bu yazıda, aşırı kanama, üst solunum yolu tıkanıklığı ve hipovolemi bulgularıyla kliniğimize acilen refere edilen 36 yaşında erkek hasta sunul- du. Oral kavite ortaya konduğunda üst damakta protrude olmuş kanamalı büyük bir kitle varlığı görüldü. Tanısal olmayan birinci biyopsiden sonra ikinci biyopsi alındı ve histopatolojik olarak tükü- rük bezi asiner hücrelerinde yoğun enflamasyon ve nekroz görüldü. Lezyonun histolojik özellikleri ve mevcut kliniğine göre subakut nekrotizan siya- ladenit tanısı kondu. Nadir bir lezyon olan suba- kut nekrotizan siyaladenit olgusunun, acil olarak kulak burun boğaz kliniğine gelmiş olması çok daha nadirdir. Tükürük bezinin malign hastalıkla- rıyla karıştırılabilen subakut nekrotizan siyalade- nitte gereksiz cerrahiden kaçınmak için doğru tanı konması esastır

References

  • Lombardi T, Samson J, Küffer R. Subacute necrotizing sialadenitis: a form of necrotizing sialometaplasia? Arch Otolaryngol Head Neck Surg 2003;129:972-5.
  • Suresh L, Aguirre A. Subacute necrotizing sialad- enitis: a clinicopathological study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:385-90.
  • Fowler CB, Brannon RB. Subacute necrotizing sialad- enitis: report of 7 cases and a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:600-9.
  • Werning JT, Waterhouse JP, Mooney JW. Subacute necrotizing sialadenitis. Oral Surg Oral Med Oral Pathol 1990;70:756-9.
  • van der Wal JE, Kraaijenhagen HA, van der Waal I. Subacute necrotising sialadenitis: a new entity? Br J Oral Maxillofac Surg 1995;33:302-3.
  • Brannon RB, Fowler CB, Hartman KS. Necrotizing sia- lometaplasia. A clinicopathologic study of sixty-nine cases and review of the literature. Oral Surg Oral Med Oral Pathol 1991;72:317-25.
  • Rizkalla H, Toner M. Necrotizing sialometaplasia versus invasive carcinoma of the head and neck: the use of myoepithelial markers and keratin subtypes as an adjunct to diagnosis. Histopathology 2007; 51:184-9.
  • Kizilay A, Erdem T, Mizrak B, Bayindir T, Ozturan O. A case of necrotizing sialometaplasia in the upper lip. Kulak Burun Bogaz Ihtis Derg 2003;10:213-5.
There are 8 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Ahmet Eyibilen This is me

Nilüfer Çakır Özkan This is me

İbrahim Aladağ This is me

Fatih Özkan This is me

Ziya Kaya This is me

Reşit Doğan Köseoğlu This is me

Publication Date August 18, 2009
Published in Issue Year 2009 Volume: 19 Issue: 4

Cite

APA Eyibilen, A., Çakır Özkan, N., Aladağ, İ., Özkan, F., et al. (2009). An unusual giant subacute necrotizing sialadenitis as an emergency case of otolaryngology. The Turkish Journal of Ear Nose and Throat, 19(4), 216-219.
AMA Eyibilen A, Çakır Özkan N, Aladağ İ, Özkan F, Kaya Z, Köseoğlu RD. An unusual giant subacute necrotizing sialadenitis as an emergency case of otolaryngology. Tr-ENT. August 2009;19(4):216-219.
Chicago Eyibilen, Ahmet, Nilüfer Çakır Özkan, İbrahim Aladağ, Fatih Özkan, Ziya Kaya, and Reşit Doğan Köseoğlu. “An Unusual Giant Subacute Necrotizing Sialadenitis As an Emergency Case of Otolaryngology”. The Turkish Journal of Ear Nose and Throat 19, no. 4 (August 2009): 216-19.
EndNote Eyibilen A, Çakır Özkan N, Aladağ İ, Özkan F, Kaya Z, Köseoğlu RD (August 1, 2009) An unusual giant subacute necrotizing sialadenitis as an emergency case of otolaryngology. The Turkish Journal of Ear Nose and Throat 19 4 216–219.
IEEE A. Eyibilen, N. Çakır Özkan, İ. Aladağ, F. Özkan, Z. Kaya, and R. D. Köseoğlu, “An unusual giant subacute necrotizing sialadenitis as an emergency case of otolaryngology”, Tr-ENT, vol. 19, no. 4, pp. 216–219, 2009.
ISNAD Eyibilen, Ahmet et al. “An Unusual Giant Subacute Necrotizing Sialadenitis As an Emergency Case of Otolaryngology”. The Turkish Journal of Ear Nose and Throat 19/4 (August 2009), 216-219.
JAMA Eyibilen A, Çakır Özkan N, Aladağ İ, Özkan F, Kaya Z, Köseoğlu RD. An unusual giant subacute necrotizing sialadenitis as an emergency case of otolaryngology. Tr-ENT. 2009;19:216–219.
MLA Eyibilen, Ahmet et al. “An Unusual Giant Subacute Necrotizing Sialadenitis As an Emergency Case of Otolaryngology”. The Turkish Journal of Ear Nose and Throat, vol. 19, no. 4, 2009, pp. 216-9.
Vancouver Eyibilen A, Çakır Özkan N, Aladağ İ, Özkan F, Kaya Z, Köseoğlu RD. An unusual giant subacute necrotizing sialadenitis as an emergency case of otolaryngology. Tr-ENT. 2009;19(4):216-9.