| Abstract | U usnoj šupljini razlikujemo velike i male egzokrine žlijezde slinovnice. Velike žlijezde slinovnice ujedno su i parne žlijezde među koje spadaju najveća parotidna (podušna), submandibularna (podčeljusna), te sublingvalna (podjezična) žlijezda. Dnevna proizvodnja sline iznosi 1000 do 1500 mililitara. Regulacija izlučivanja sline se provodi parasimpatičkom i simpatičkom inervacijom žlijezda slinovnica. Najčešća bolest koja se javlja kod žlijezda slinovnica je sijalolitijaza, označava ju razvijanje kalcifikata (sijalolita) unutar odvodnog sustava kanala žlijezda slinovnica. U 80% slučajeva sijalolit se razvija unutar submandibularne žlijezde, u 10% slučajeva to je parotidna žlijezda, a u samo 5% slučajeva je sublingvalna. Uzimanje anamneze, bimanualna palpacija i intraoralni pregled, u sklopu fizikalnog pregleda, su najvažniji korak u postavljanju dijagnoze. Radiološke metode za potvrdu dijagnoze su ortopantomogram, CBCT, MSCT, zagrizna snimka dna usne šupljine, sijalografija. Terapija sijalolitijaze žlijezda slinovnica je kirurški zahvat. U ovom radu je prikazan slučaj submandibularne sijalolitijaze kod muškarca starije životne dobi. Prikaz slučaja se sastoji od fizikalnog pregleda, postavljanja dijagnoze uz pomoć bimanualne palpacije, intraoralnog pregleda i ortopantomograma, terapije kirurškim zahvatom i kontrolnog pregleda. |
| Abstract (english) | In the oral cavity, we can find large and small exocrine salivary glands. The large salivary glands are also paired glands, which include the largest parotid, submandibular, and sublingual glands. The daily production of saliva is 1000 to 1500 milliliters. Saliva secretion is regulated by parasympathetic and sympathetic innervation of the salivary glands. The most common disease that occurs in the salivary glands is sialolithiasis, it is characterized by the development of calcifications (sialoliths) within the drainage system of the salivary glands. In 80% of cases, sialolith develops within the submandibular gland, in 10% of cases it is in the parotid gland, and in only 5% of cases it is in sublingual gland. Medical history, bimanual palpation and intraoral examination, as part of the physical examination, are the most important steps in establishing diagnosis. Radiological methods to confirm the diagnosis are orthopantomogram, CBCT, MSCT, bitewing scan of the lower jaw, sialography. The therapy of salivary glands sialolithiasis is a surgical procedure. This master thesis presents a case of elderly man with submandibular sialolithiasis. The case presentation consists of physical examination, diagnosis with the help of bimanual palpation, intraoral examination and orthopantomogram, surgical therapy and control examination. |
