A Case of Necrotizing Sialometaplasia Developed in the Palate

Necrotizing sialometaplasia is a rare, benign, self-limiting, necrotizing process involving the minor salivary glands, mainly the mucoserous glands of the hard palate. It is thought to be the result of an ischemic event of the vasculature supplying the salivary gland lobules. Some predisposing factors such as smoking, use of alcohol, denture wearing, recent surgery, traumatic injuries, respiratory infections, systemic diseases bulimia, and anorexia have been described. Herein we present a case of necrotizing sialometaplasia of the hard palate in a patient without known predisposing factors, in our opinion, resulting from the use of topical anti-inflammatory drug. After diagnosis, the patient underwent treatment with chlorhexidine gluconate and a full palatal acrylic guard to protect the exposed bone from food residues during meals. After the sixth week the lesion regressed.

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Necrotizing Sialometaplasia

Plastic & Reconstructive Surgery ◽

10.1097/00006534-198305000-00013 ◽

1983 ◽

Vol 71 (5) ◽

pp. 650-657 ◽

Cited By ~ 14

Author(s):

Fivos Gahhos ◽

Rosa E. Enriquez ◽

Saul L. Bahn ◽

Stephan Ariyan

Keyword(s):

Necrotizing Sialometaplasia

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Warthin tumor exhibiting sebaceous differentiation and necrotizing sialometaplasia

Virchows Archiv A Pathological Anatomy and Histology ◽

10.1007/bf00709159 ◽

1981 ◽

Vol 391 (3) ◽

pp. 267-273 ◽

Cited By ~ 20

Author(s):

D. R. Gnepp

Keyword(s):

Warthin Tumor ◽

Necrotizing Sialometaplasia

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Surgical Management of Necrotizing Sialometaplasia of Hard Palate: A Case Report

International Journal of Current Science Research and Review ◽

10.47191/ijcsrr/v3-i12-03 ◽

2020 ◽

Vol 03 (12) ◽

Author(s):

Indu Palanivel ◽

Keyword(s):

Case Report ◽

Oral Cavity ◽

Surgical Management ◽

Conservative Management ◽

Hard Palate ◽

Complete Regression ◽

Self Healing ◽

Healing Period ◽

Necrotizing Sialometaplasia

Necrotizing Sialometaplasia is rare and in the oral cavity it accounts <1% of all biopsied lesion. For decades Necrotizing Sialometaplasia were treated by conservative management as it is a self healing lesion. The progressive healing period was reported from 2 weeks to 3 months in the literature. Is necrotizing sialometaplasia a self-limiting disease? Here we report a case of non-healing necrotizing sialometaplasia which was treated by surgical management. Complete regression of the lesion was evident after the surgical management and no recurrence until two years of follow-up.

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