Pham Dang N, Picard M, Mondié J M, Barthélémy I
Stomatology and Maxillofacial Departement, Hopital Estaing, Centre Hospitalier Universitaire, Clermont-Ferrand, France.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Oct;110(4):e23-7. doi: 10.1016/j.tripleo.2010.04.008. Epub 2010 Jul 24.
Congenital agenesis of the salivary glands is uncommon. There are documented cases of partial or unilateral aplasia of the major salivary glands associated with the lacrimal puncta, but very few reports of the absence of all major salivary glands. We report the case of a 10-year-old girl with xerostomia and extensive teeth caries. Physical examination and imaging showed total and bilateral aplasia of the parotid, submandibular, and sublingual glands, with no involvement of the minor salivary glands or the lacrimal puncta. We describe the clinical presentation, important aspects in diagnosing partial forms of the condition, and patient management.
唾液腺先天性发育不全并不常见。有文献记载了与泪点相关的主要唾液腺部分或单侧发育不全的病例,但关于所有主要唾液腺均缺失的报道极少。我们报告一例10岁患有口干症和广泛龋齿的女孩病例。体格检查和影像学检查显示腮腺、颌下腺和舌下腺完全双侧发育不全,小唾液腺和泪点未受累。我们描述了临床表现、诊断该疾病部分形式的重要方面以及患者管理。