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Official Journal of the Italian Society of Maxillofacial Surgery
Frequency: 3 issues
Online ISSN 1827-1901
Tartaro G. P. 2, Capone R. 2, Gaetani L. 2, Santagata M. 2, Villani M. 1
1 Faculty of Medicine and Surgery
2 Institute of Oral and Maxillofacial Surgery Second University of Naples, Naples
The case is reported of a 69-year old woman with unilateral agenesis of the right submandibular salivary gland associated with hypoplasia of the homolateral frontal sinus. Diagnosis was fortuitous; diagnosis was confirmed by ultrasonography of the neck, computerised tomography in axial and coronal projection and scintigraphy of the salivary glands with endovenous injection of 99technetium pertechnetate, which enabled a certain diagnosis to be formulated. There was no xerostomia, no problems of deglutition, no deficit of any other structures of the oral cavity of ectodermic origin: dental enamel, minor salivary glands, mucosa lining of the oral cavity. There being no symptoms, no therapy was required, due to the normal functioning of the other major salivary gland. Unilateral agenesis of a submandibular gland was a fortuitous finding due to the lack of symptoms. Congenital absence of this salivary gland associated with hypoplasia of the homolateral frontal sinus is a clinical condition never previously described in the literature.