Syayma Karimah/G99161096

Differential Diagnosis Abses Submandibula:

Infectious (acute) cause - Bacterial or viral disease

Inflammatory cause - Sialolithiasis, radiation-induced disease
Autoimmune cause - Sjgren disease, lupus
Granulomatous cause - Tuberculosis, tularemia, sarcoidosis, catscratch disease, actinomycosis
Drug-related cause - Thiourea
Neoplastic (benign) cause - Pleomorphic/monomorphic adenoma, oncocytoma, ductal papilloma, hemangioma, foreign body, ranula,
lymphoepithelial cyst
Neoplastic (malignant) cause - Adenoid cystic carcinoma, mucoepidermoid carcinoma, adenocarcinoma, undifferentiated carcinoma,
malignant oncocytoma, squamous cell carcinoma
Endocrine cause - Hypothyroidism, diabetes mellitus
Metabolic cause - Vitamin deficiency, cirrhosis, obesity, bulimia, malabsorption

karakteristik Selulitis Abses Angina Ludwig Parotitis

submandibula

Onset Akut Kronis Kronis Akut

Sakit Berat dan merata Terlokalisir Terlokalisir Terlokalisir
Batas Difuse Berbatas jelas Difuse
Palpasi Indurasi jelas, fluktuasi (-) Indurasi jelas, Indurasi jelas, Indurasi tidak jelas,
Fluktuasi (+) fluktuasi (-), fluktuasi (-)
Adanya pus (-) (+) (+) (-)
Trismus (-) (+) (+) (-)
Lokasi Dapat di semua tempat yang Spasia submandibula Spasia submandibula, Kelenjar parotis
memiliki jaringan lunak dan submentale,
jaringan ikat longgar sublingual
Penyebab Bakteri Aerob Bakteri Anaerob Bakteri Anaerob Mayoritas karena
paramyxovirus
Karakteristik Sialolithiasis Lupus TB Ranula ACC
Onset Kronis Kronis Kronis Kronis Kronis
Sakit Terokalisir, (-) (-) (-) (-)
Intermitten
Batas Batas tegas Diffuse Batas tegas (-) Diffuse
Palpasi Indurasi jelas, Indurasi jelas, Indurasi jelas, frogs belly Indurasi jelas, fluktuasi
fluktuasi (-) fluktuasi (-) fluktuasi (-) (-)
Adanya pus (-) (-) (-) (-) (-)
Trismus (-) (-) (-) (-) (-)
Lokasi Submandibula, parotis Facial Dasar mulut Di mana saja, paling
(gln.submandibula/sublingual) sering di submandibula
Penyebab Obstruksi duktus autoimun M. tuberculosis Obstruksi, trauma Genetik, Multifaktorial

Referensi:

Adi Yoskovitch. 2017. Submandibular Sialadenitis/Sialadenosis Differential Diagnoses. Medscape, WebMD dilihat pada 14 Desember 2017, <
https://emedicine.medscape.com/article/882358-differential?src=refgatesrc1>

Christie M Bartels. 2017. Systemic Lupus Erythematosus (SLE). Medscape, WebMD dilihat pada 14 Desember 2017, <
https://emedicine.medscape.com/article/332244-overview>

Fragiskos D. Fragiskos. 2007. Oral Surgery. Springer-Verlag Berlin Heidelberg. Germany.

Kimberly C. Pickett. 2014. Facial Submandibular Cellulitis Associated With Late-Onset Group B Streptococcal Infection. Medscape, WebMD
dilihat pada 14 Desember 2017, < https://www.medscape.com/viewarticle/470848>

Thomas E Herchline. 2017. Tuberculosis (TB). Medscape, WebMD dilihat pada 14 Desember 2017, <
https://emedicine.medscape.com/article/230802-overview>