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The Therapeutic Value of Ultrasound-Guided Irrigation in Sialodochitis: A Case Report
J Oral Med Pain 2018;43:52-55
Published online June 30, 2018;  https://doi.org/10.14476/jomp.2018.43.2.52
© 2018 Korean Academy of Orofacial Pain and Oral Medicine

Chi-Hyuk Ahn, Q-Schick Auh, Yeon-Hee Lee

Department of Orofacial Pain and Oral Medicine, Kyung Hee University Dental Hospital, Seoul, Korea
Correspondence to: Yeon-Hee Lee
Department of Orofacial Pain and Oral Medicine, Kyung Hee University Dental Hospital, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea
Tel: +82-2-958-9418
Fax: +82-2-962-8124
E-mail: omod0209@gmail.com
Received May 24, 2018; Revised June 19, 2018; Accepted June 19, 2018.
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
In the present case study, we reported a female patient with sialodochitis fibrinosa in which a conservative ultrasound (US)-guided irrigation method was used to relieve her symptoms. A 30-year-old female patient visited Kyung Hee University Dental Hospital with chief complaints of persistent swelling and discomfort in the left facial area. Her primary symptom was facial swelling that was accompanied by neuropathological symptoms, such as itching, tingling, and warmth that usually continued for 3 to 4 days. During clinical examination of orofacial area, mild swelling and fever were noted in the left face including parotid region, and mild induration could be felt at the corresponding site; sialadenitis of the left parotid gland was tentatively diagnosed. Herein, we performed intraductal irrigation of the left parotid gland in three times per month and prescribed some medication. Thus, her signs and symptoms have been improved, and she did not experience a recurrence for 12-month follow-up to date. This study can support the usefulness of the US-guided irrigation method to treat the sialodochitis fibrinosa without remarkable side effects.
Keywords : Conservative treatment; Irrigation; Medication; Sialodochitis; Ultrasound-guided


September 2018, 43 (3)