Chaudhry Kirti, Khatana Shruti, Dutt Naveen, Mittal Yogesh, Elhence Poonam
1Department of Dentistry, AIIMS Jodhpur, Jodhpur, India.
2Maxillofacial Surgery (Trauma & Emergency), AIIMS Jodhpur, Jodhpur, India.
J Maxillofac Oral Surg. 2019 Jun;18(2):180-189. doi: 10.1007/s12663-018-1139-7. Epub 2018 Aug 2.
Dirofilariasis is an endemic disease in tropical and subtropical countries caused by about 40 different species of dirofilari. Dirofilariasis of the oral cavity is extremely rare and is usually seen as mucosal or submucosal nodules. We also present a case of dirofilariasis of the mandibular third molar region submucosally in a 26 year old male patient.
To identify, enlist and analyze the cases of dirofilariasis in maxillofacial region reported worldwide so as to understand the clinical presentation and encourage the consideration of helminthic infections as a possible differential diagnosis in maxillofacial swellings.
Two authors KC and SK independently searched the electronic database of PUBMED, OVID, Google Scholar and manual search from other sources. A general search strategy was planned and anatomic areas of interest identified. The search was made within a bracket of 1 month by the independent authors KC and SK who assessed titles, abstracts and full texts of articles based on the decided keywords. The final selection of articles was screened for the cases that were reported in the maxillofacial region including the age, gender, site of occurrence and region of the world reported in. A geographic distribution of the reported cases was tabulated.
A total number of 265, 97, 1327, 3 articles were identified by PubMed, Ovid, GoogleScholar and manual search respectively. The final articles were manually searched for duplicates and filtered according to the inclusion/exclusion criteria which led to a final list of 58 unique articles that were included in the study. In total 99 cases were identified.
Although intraoral dirofilarial infections are extremely uncommon, it should be considered in the differential diagnosis of an intraoral or facial swelling that does not completely respond to routine therapy especially in patients from endemic areas.
丝虫病是热带和亚热带国家的一种地方病，由约40种不同的丝虫引起。口腔丝虫病极为罕见，通常表现为黏膜或黏膜下结节。我们还报告了一例26岁男性患者下颌第三磨牙区域黏膜下丝虫病的病例。
识别、收录并分析全球范围内报道的颌面部丝虫病病例，以了解其临床表现，并促使人们在考虑颌面部肿胀的鉴别诊断时将蠕虫感染作为一种可能情况。
两位作者KC和SK分别独立检索了PubMed、OVID、谷歌学术的电子数据库，并从其他来源进行手工检索。制定了一般检索策略，并确定了感兴趣的解剖区域。独立作者KC和SK在1个月的时间范围内进行检索，他们根据选定的关键词评估文章的标题、摘要和全文。对最终选定的文章进行筛选，以查找颌面部区域报道的病例，包括年龄、性别、发病部位和报道的世界区域。将报道病例的地理分布制成表格。
通过PubMed、Ovid、谷歌学术和手工检索分别识别出265篇、97篇、1327篇和3篇文章。对最终的文章进行人工查重，并根据纳入/排除标准进行筛选，最终得到58篇纳入研究的独特文章。总共识别出99例病例。
尽管口腔内丝虫感染极为罕见，但在对常规治疗不完全反应的口腔或面部肿胀的鉴别诊断中应考虑到这种情况，尤其是来自流行地区的患者。
