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ID:41197461
大小:1.57 MB
页数:25页
时间:2019-08-18
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1、TheMouthandSalivaryGlandsByProf.Dr.AliaaAlyElAghouryProfessorofInternalMedicineEndocrinologyUnitFacultyofMedicine,Alex.UniversityTheMouthandSalivaryGlandsTheoralcavityextendsfromthelipstothepharynx&containsthetongue,teethandgums.Itsprimaryfunctionsaremas
2、tication,swallowingandspeech.Problemsinthemouthcanproduceseveresymptomsandpoordentalhygieneisoftenafactor.N.B.Stomatitisisinflammationinthemouth.Angularstomatitis:isinflammationofthecornersofthemouth.TheMouthandSalivaryGlandsAphthousulcerationAresuperfic
3、ialandpainful,theyoccurinanypartofthemouth,recurrentulcersaffectupto30%ofthepopulationandareparticularlycommoninwomenpriortomenstruation.TheMouthandSalivaryGlandsThecauseisunknownbutinseverecasesothercausesoforalulcerationmustbeconsidered.TheMouthandSali
4、varyGlandsCausesofOralUlcerationAphthousIdiopathicPremenstrualInfectionFungal,e.g.candidiasisViral,e.g.herpessimplexBacterial,e.g.Vincent'sangina,syphilisGastrointestinaldiseasesCrohn'sdiseaseCoeliacdiseaseDermatologicalconditionsLichenplanusPemphigoidPe
5、mphigusDrugsHypersensitivity,e.g.Stevens-JohnsonsyndromeCytotoxicsSystemicdiseasesSystemiclupuserythematosus(SLE)Behcet'syndromeNeoplasiaCarcinomaLeukemiaKaposi'ssarcomaTheMouthandSalivaryGlandsTopicalcorticosteroidsorcholinesalicylategel.Localanaestheti
6、cmouthwashesforsymptomsrelief.TreatmentTheMouthandSalivaryGlandsSquamouscarcinomaoftheoralcavityiscommon.Themortalityrateisaround50%asaresultoflatediagnosis.Poordiet,alcoholexcessandsmokingortobaccochewingarethemainriskfactors.OralcancerTheMouthandSaliva
7、ryGlandsClinicalpictureSymptomsandSignsofOralCancerSolitaryulcerwithoutprecipitant,e.g.localtraumaSolitarywhitepatch("leukoplakia")whichfailstowipeoffSolitaryredpatchFixedlumpLipnumbnessinabsenceoftraumaorinfectionTrismus(painful/difficultmouthopening)Ce
8、rvicallymphadenopathyTheMouthandSalivaryGlandsSuspiciouslesionsshouldhaveallpossiblesourcesoflocaltraumaorinfectiontreatedandbereviewedafter2weeks,ifthelesionpersistsbiopsyisadvisable.SurgeryRadiotherapyPhotodynamictherapy
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