Artificial saliva in the management of patients suffering from xerostomia.
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Biomedical subjects
Publications and source records attributed to A K Panders.
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Plain computed tomography (CT) scanning and CT scanning after injection of contrast medium into the salivary glands (CT sialography) were compared with conventional sialography in 50 patients with neoplasms in or near the parotid or submandibular glands. The results were correlated with clinical and pathological findings. CT sialography proved to be the best diagnostic method in the diagnosis of salivary gland tumors.
In this investigation, the subjective impressions of patients, suffering from severe xerostomia, have been recorded after symptomatic treatment with different CMC- and mucin-containing artificial saliva over 3 years. A total number of 137 patients divided into 3 groups participated. Group I (40 patients) used CMC-containing artificial saliva, group II (61 patients) alternately used CMC- and mucin-containing artificial saliva and group III (36 patients) used mucin-containing artificial saliva. From this study it is concluded that artificial saliva containing mucins proved to be of benefit to patients suffering from xerostomia.
Computed tomography (CT) has made it possible to identify soft tissue structures not visible by sialography. This paper reviews the normal anatomy in the region of the parotid and submandibular glands in the axial transverse and coronal planes as imaged by CT before and after sialography. A clear understanding of the normal structures is important before undertaking an evaluation of disease.
Computed tomography (CT) has added a significant amount of diagnostic information to the imaging of the salivary glands. Two groups of patients were evaluated at two institutions to determine the impact of CT on the diagnosis of various diseases and to evaluate the contribution of CT versus conventional sialography, respectively. Patients were studied by each modality alone and in combination. Emphasis has been placed on the group that had CT combined with sialography, since benign and malignant tumors were found to be better evaluated by the two techniques together.
Three patients in whom the diagnosis of oral florid papillomatosis or speckled leukoplakia was made are reported. All three patients were elderly men, who had been heavy smokers for years. In two of the treated patients the disease recurred. Histologically pseudohyphae of Candida could be demonstrated of all three cases. The etiology and the differential diagnosis of oral florid papillomatosis and speckled leukoplakia are discussed. In our opinion, there is no essential difference between oral florid papillomatosis and speckled leukoplakia.
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