RESUMO
Salivary retention and recurrent sialadenitis as a result of ductal stenosis is an uncommon condition that presents difficult management problems. Ductal dilation with small angioplasty balloons is recognized to be of low morbidity and can eliminate the possible need for surgical intervention. This case report is interesting in that the successful treatment of parotid duct stenosis was accompanied by the resolution of a spectrum of autonomic symptoms that had seriously compromised the patient's quality of life.
Assuntos
Doenças do Sistema Nervoso Autônomo/etiologia , Procedimentos Cirúrgicos Bucais/métodos , Doenças Parotídeas/complicações , Doenças Parotídeas/cirurgia , Ductos Salivares/patologia , Doenças do Sistema Nervoso Autônomo/cirurgia , Constrição Patológica/complicações , Constrição Patológica/cirurgia , Diabetes Mellitus Tipo 2/complicações , Dilatação , Feminino , Humanos , Pessoa de Meia-Idade , Qualidade de Vida , Ductos Salivares/cirurgia , SialografiaRESUMO
The aims of management of patients with xerostomia include the provision of a definitive aetiology and diagnosis, and a prognosis for the salivary dysfunction. Salivary flow assessment and function testing, other relevant laboratory tests, and even referrals should be performed as necessary. Management of the condition depends on diagnosis and severity, and includes enhancement of salivary flow, oral lubrication, control of soft-tissue infections and discomfort, and prevention of dental caries.
