Analysis of causes for non-stone parotid obstructions

Parotid obstructions can cause repeated swelling of the glands. Previously, duct stones were thought to be the main cause of obstructions, but salivary gland endoscopy examinations have revealed the absence of stones or foreign bodies in the duct system of the parotid glands with obstructive symptom...

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Main Authors: TAO Qian, HUANG Yun
Format: Article
Language:zho
Published: Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases 2019-11-01
Series:口腔疾病防治
Subjects:
Online Access:http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2019.11.002
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author TAO Qian
HUANG Yun
author_facet TAO Qian
HUANG Yun
author_sort TAO Qian
collection DOAJ
description Parotid obstructions can cause repeated swelling of the glands. Previously, duct stones were thought to be the main cause of obstructions, but salivary gland endoscopy examinations have revealed the absence of stones or foreign bodies in the duct system of the parotid glands with obstructive symptoms. Diseases of the parotid gland with obstructive symptoms include chronic recurrent parotitis, non-stone chronic obstructive parotitis, Sjögren′s syndrome, IgG4-related parotitis and radiation-induced parotitis. The mechanism of obstructions is unknown, and the disease course is prolonged. In this paper, based on a brief analysis of duct stenosis, distortion and mucus emboli, which may lead to parotid obstructions, a new perspective is emphasized: the duct system of the parotid and flowing saliva constitute a microflow field. Based on the principle of fluid mechanics, the flow of saliva in the flow field can be affected by the confluence, diameter changes, and twist of the ducts. This outcome results in changes in the low velocity zone, backflow, counterflow and turbulence; affects saliva flow and normal discharge; and causes symptoms of parotid obstruction. An analysis of the possible mechanisms of parotid obstruction using two variables, duct anatomy and saliva traits, helps explain the causes of nonstone parotid obstructions.
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spelling doaj.art-be3176c1db784473b3cef13c969d75102022-12-22T03:44:39ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562096-14562019-11-01271168969410.12016/j.issn.2096-1456.2019.11.002Analysis of causes for non-stone parotid obstructionsTAO Qian0HUANG Yun1Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of StomatologyHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of StomatologyParotid obstructions can cause repeated swelling of the glands. Previously, duct stones were thought to be the main cause of obstructions, but salivary gland endoscopy examinations have revealed the absence of stones or foreign bodies in the duct system of the parotid glands with obstructive symptoms. Diseases of the parotid gland with obstructive symptoms include chronic recurrent parotitis, non-stone chronic obstructive parotitis, Sjögren′s syndrome, IgG4-related parotitis and radiation-induced parotitis. The mechanism of obstructions is unknown, and the disease course is prolonged. In this paper, based on a brief analysis of duct stenosis, distortion and mucus emboli, which may lead to parotid obstructions, a new perspective is emphasized: the duct system of the parotid and flowing saliva constitute a microflow field. Based on the principle of fluid mechanics, the flow of saliva in the flow field can be affected by the confluence, diameter changes, and twist of the ducts. This outcome results in changes in the low velocity zone, backflow, counterflow and turbulence; affects saliva flow and normal discharge; and causes symptoms of parotid obstruction. An analysis of the possible mechanisms of parotid obstruction using two variables, duct anatomy and saliva traits, helps explain the causes of nonstone parotid obstructions.http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2019.11.002parotidinflammationnon-stone parotid obstructionsparotid ductsalivary gland endoscopymicro-flow fieldhydrodynamics
spellingShingle TAO Qian
HUANG Yun
Analysis of causes for non-stone parotid obstructions
口腔疾病防治
parotid
inflammation
non-stone parotid obstructions
parotid duct
salivary gland endoscopy
micro-flow field
hydrodynamics
title Analysis of causes for non-stone parotid obstructions
title_full Analysis of causes for non-stone parotid obstructions
title_fullStr Analysis of causes for non-stone parotid obstructions
title_full_unstemmed Analysis of causes for non-stone parotid obstructions
title_short Analysis of causes for non-stone parotid obstructions
title_sort analysis of causes for non stone parotid obstructions
topic parotid
inflammation
non-stone parotid obstructions
parotid duct
salivary gland endoscopy
micro-flow field
hydrodynamics
url http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2019.11.002
work_keys_str_mv AT taoqian analysisofcausesfornonstoneparotidobstructions
AT huangyun analysisofcausesfornonstoneparotidobstructions