ABSTRACT
This article discusses a rare clinical case of differential diagnosis between salivary stone disease and calcinosis, which developed against the background of autoimmune pathology. Diagnosis of these pathologies causes difficulties for practitioners, and treatment methods have fundamental differences. In this regard, the description of this case is relevant and significant. The algorithm of the main and additional research methods to confirm the diagnosis is described.
Subject(s)
Calcinosis , Parotid Gland , Sjogren's Syndrome , Humans , Sjogren's Syndrome/complications , Sjogren's Syndrome/diagnosis , Calcinosis/pathology , Calcinosis/diagnosis , Calcinosis/etiology , Female , Diagnosis, Differential , Parotid Gland/pathology , Middle AgedABSTRACT
In a clinical case we report on the primary application of modern methods of visualization using augmented reality in the treatment of patients with sialolithiasis for the localization of salivary stone in the parenchyma of the parotid salivary gland. Impression was taken and individual splint with radiopaque marker and a cutout for a probe was made. The splint was used for spiral CT of the head and neck. In surgical intervention under endotracheal anesthesia with intubation through the nose, the splint was placed in the mouth with a tap and a surgeon visualized the projection of the stone on the skin using glasses. The method allows to visualize salivary stone at all stages of surgery, regardless of the type of access or hydrotreatment. However, this technique does not make it possible to estimate the depth of the stone, as well as if the salivary stone is not fixed in the duct there is a risk of changing its position. In this regard, the use of augmented reality has a promising direction and requires further research.
Subject(s)
Salivary Gland Calculi , Augmented Reality , Humans , Nose , Salivary GlandsABSTRACT
The article presents two clinical cases of patients with Heerfordt-Waldenström disease demonstrating diagnostic difficulties and the need for holistic treatment approach.
