nuovi metodi diagnostici e terapeutici · giant ranula submandibular gland . digastric muscle...
TRANSCRIPT
![Page 1: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/1.jpg)
![Page 2: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/2.jpg)
![Page 3: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/3.jpg)
Nuovi metodi diagnostici e terapeutici
della patologia delle ghiandole salivari
G. Szabó, Á. Lőrincz
Semmelweis University
Budapest, Hungary
2013. November 15-16. Monte-Carlo
XXV. Congresso Internazionale
Odontostomatologico
New diagnostic methods and therapy
in salivary glands pathology
![Page 4: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/4.jpg)
Anatomy of the
salivary glands
![Page 5: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/5.jpg)
Parotid gland Superficial lobe
Deep lobe
![Page 6: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/6.jpg)
![Page 7: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/7.jpg)
The submandibular gland
![Page 8: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/8.jpg)
The sublingual and submandibular
glands: relationships within their
respective areas
![Page 9: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/9.jpg)
![Page 10: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/10.jpg)
![Page 11: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/11.jpg)
Parotid
serous
Submandibular
mixed
Sublingual
mucous
![Page 12: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/12.jpg)
Different types of
normal parotid gland
ramifications
(Aubert and Guerin)
![Page 13: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/13.jpg)
Different types of
normal submandibular
gland ramifications
(Aubert and Guerin)
![Page 14: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/14.jpg)
Pathology of the salivary glands
malformations
traumatic lesions
sialadenitis
sialolithiasis
special inflammations
(Sjögren’s sy.)
sialosis
tumors
![Page 15: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/15.jpg)
Diagnostic methods
Physical examination
Radiography (Sialography)
Cone-Beam Sialography
Ultra-sounds
Computer tomography
MRI
Isotop
Biopsy
![Page 16: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/16.jpg)
Physical examination
![Page 17: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/17.jpg)
![Page 18: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/18.jpg)
Giant ranula
![Page 19: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/19.jpg)
Giant ranula
Submandibular gland
![Page 20: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/20.jpg)
![Page 21: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/21.jpg)
![Page 22: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/22.jpg)
![Page 23: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/23.jpg)
Digastric muscle
Mylohyoid muscle
![Page 24: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/24.jpg)
Radiography
Sialography
![Page 25: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/25.jpg)
simple X-ray
(sialolith)
![Page 26: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/26.jpg)
![Page 27: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/27.jpg)
normal submandibular duct system
![Page 28: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/28.jpg)
1 2
3 4
5 6
7
1. normal parotid
2. acute inflammation
3. sialolith
4. chronic recurrent
sialadenitis
5. Sjögren’s sy.
6. sialosis
7. tumor
![Page 29: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/29.jpg)
Cone Beam
Sialography
![Page 30: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/30.jpg)
![Page 31: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/31.jpg)
![Page 32: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/32.jpg)
![Page 33: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/33.jpg)
Sjögren’s
Syndrome
![Page 34: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/34.jpg)
Sjögren’s Syndrome
![Page 35: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/35.jpg)
Mild-Sjögren’s
Syndrome
![Page 36: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/36.jpg)
Submandibular Gland
![Page 37: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/37.jpg)
Sialolith
![Page 38: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/38.jpg)
Isotop examinations
131I 99mTc
Half-
life
8 days 6 hours
![Page 39: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/39.jpg)
Characteristic
curves
normal minor
xerostomy
sialosis major
xerostomy
![Page 40: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/40.jpg)
![Page 41: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/41.jpg)
![Page 42: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/42.jpg)
Effect of Pilocarpine on
salivary secretion
P
![Page 43: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/43.jpg)
Malformations
Aplasia-hyperplasia
Metaplasia
Abnormal development of the ducts
![Page 44: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/44.jpg)
Aplasia of the right
submandibular gland
![Page 45: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/45.jpg)
Aplasia of the right submandibular gland
submandibular
parotid
minor salivery glands in the
oral cavity
parotid
submandibular
parotid
minor salivery glands in the
oral cavity
![Page 46: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/46.jpg)
Abnormal development of the
parotid ducts
![Page 47: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/47.jpg)
Abnormal development of the parotid duct: „mega-Stenon”
![Page 48: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/48.jpg)
Inflammations
![Page 49: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/49.jpg)
Chronic recurrent sialadenitis
![Page 50: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/50.jpg)
Chronic recurrent sialadenitis
![Page 51: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/51.jpg)
Sialoliths
![Page 52: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/52.jpg)
![Page 53: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/53.jpg)
![Page 54: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/54.jpg)
Bilateral sialolitiasis
of the submandibular
glands
![Page 55: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/55.jpg)
Tumors
![Page 56: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/56.jpg)
Tumors of the salivary glands
Pleomorphic adenoma (mixed tumor)
Adenolymphomas (cystadenolymphoma)
Oncocytoma
Cylindroma (Adenocystic carcinoma)
Mucoepidermoid tumors
Malignant mixed tumor
Epithelial carcinoma
Adenocarcinoma
![Page 57: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/57.jpg)
Pleomorphic adenoma
![Page 58: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/58.jpg)
![Page 59: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/59.jpg)
Frey sy. (Auriculotemporal nerv.)
![Page 60: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/60.jpg)
Tumor of the accessoric parotid gland
![Page 61: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/61.jpg)
![Page 62: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/62.jpg)
Pleomorphic adenoma
![Page 63: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/63.jpg)
Pleomorphic adenoma
one week postop.
![Page 64: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/64.jpg)
Pleomorphic adenoma
92 year old patient
![Page 65: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/65.jpg)
![Page 66: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/66.jpg)
![Page 67: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/67.jpg)
![Page 68: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/68.jpg)
12 years later mixed
tumor in the upper lip
![Page 69: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/69.jpg)
102 years old patient with parotid mixed tumor
![Page 70: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/70.jpg)
Pleomorphic adenoma in the submandibular gland
![Page 71: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/71.jpg)
Oncocytoma in the
parotid gland
![Page 72: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/72.jpg)
Cystadenolymphoma in the parotid gland
![Page 73: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/73.jpg)
Bilateral oncocytoma
![Page 74: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/74.jpg)
Pleomorphic adenoma on the palatinal gland
![Page 75: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/75.jpg)
Orbital expansion of a palatinal cylindroma
![Page 76: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/76.jpg)
After total parotidectomy
![Page 77: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/77.jpg)
Adenocarcinoma of the parotid gland
![Page 78: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/78.jpg)
![Page 79: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/79.jpg)
Special chronic
inflammations
![Page 80: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/80.jpg)
Sjögren syndrome xerostomy
xerophthalmia
rheumatoid arthritis
(Collagene disease)
![Page 81: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/81.jpg)
![Page 82: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/82.jpg)
![Page 83: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/83.jpg)
![Page 84: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/84.jpg)
![Page 85: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/85.jpg)
![Page 86: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/86.jpg)
Sjögren’s Syndrome with
major lymphoid infiltration,
without any salivary gland
tissue
![Page 87: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/87.jpg)
Sjögren’s Syndrome with major lymphoid
infiltration, without any salivary gland tissue
![Page 88: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/88.jpg)
Special indication (consideration) for surgery
![Page 89: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/89.jpg)
Heerfordt syndrome
Parotidomegaly
Facial paresis
Fever
Uveitis
(virus infection)
![Page 90: Nuovi metodi diagnostici e terapeutici · Giant ranula Submandibular gland . Digastric muscle Mylohyoid muscle . Radiography Sialography . simple X-ray ... Aplasia of the right submandibular](https://reader034.vdocument.in/reader034/viewer/2022051814/603820838cde3379066dace8/html5/thumbnails/90.jpg)
Changes in
salivary secretion