title: Necrotizing sialometaplasia: an unusual bilateral presentation associated with antecedent anaesthesia and lack of response to intralesional steroids. Case report and review of the literature.
abstract: Necrotizing sialometaplasia is a self-limiting, variably ulcerated benign process affecting minor salivary glands. Accurate histological diagnosis is paramount, as it has been mistaken for malignancy, which has resulted in excessively aggressive and unnecessary radical surgery. A unique case of bilateral necrotizing sialometaplasia, presenting with anaesthesia of the greater palatine nerves, is described. An attempt at active therapy with intralesional steroids had no effect on the course of the condition.
authors.affiliation: Department of Oral Surgery, Oral Medicine and Oral Pathology, School of Dental Science, Trinity College Dublin, Ireland. pakeogh@dental.tcd.ie
authors.forename: P V
authors.initials: PV
authors.lastname: Keogh
authors.forename: E
authors.initials: E
authors.lastname: O'Regan
authors.forename: M
authors.initials: M
authors.lastname: Toner
authors.forename: S
authors.initials: S
authors.lastname: Flint
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D015552:Injections, Intralesional; D010159:Palate / Q000294:innervation; D012797:Sialometaplasia, Necrotizing / Q000473:pathology*; D014221:Triamcinolone / Q000627:therapeutic use
chemical_list: D005938:Glucocorticoids; D014221:Triamcinolone