دانلود کتاب مدیریت بالینی اختلالات غدد بزاقی

My interest in salivary gland disorders originated when I was a graduate student many years ago. Consequently, I have had ample opportunity to evaluate patients victimized by a wide variety of salivary gland diseases. Inevitably, I developed “smarts” or what is referred to as clinical expertise. In addition to my examinations of the more familiar salivary gland afflictions, my experiences have allowed me to become familiar with a group of salivary gland conditions that nowadays are seen infrequently. Surgical (acute) parotitis and HIV lymphoepithelial cysts represent examples of this cohort of salivary gland problems. Furthermore, the passage of time has allowed me to accumulate and evaluate a collection of false/positive patients. I have attempted to incorporate into this text the knowledge that I have acquired from my exposure to the full gamut of salivary gland disorders and to those entities (the false/positives) that mimic salivary gland pathology. A huge step forward in my ability to evaluate salivary gland disorders occurred in 1988 with the establishment of the Columbia University Salivary Gland Center. The impetus for its establishment came from Dr. Irwin Mandel (no relation of mine, just a coincidence in names) who had a background in biochemistry and was interested in the biochemistry of saliva. I am a clinician and he thought that we would make a perfect team, we did. As you peruse this book, you will note that some chapters allude to salivary chemistry, a reflection of Dr. Irwin Mandel’s influence upon me. In addition, the continued value of sialography in the diagnosis of salivary gland disease has been recognized. Examples of its place in diagnosis have been sprinkled throughout the chapters. Sialography is a venerable diagnostic technique whose scope has gradually been impinged upon by other imaging (CT scan, MRI, etc.) approaches. Nevertheless, it has a significant place in the salivary gland diagnostic armamentarium. It is unrivaled in its ability to image normal/abnormal ductal patterns as they relate to glandular disorders. Mastering the technique will reward the clinician. The reader should look upon this book’s compendium of salivary gland disorders as only opening the door to the subject. The text should serve as a guide in attaining a diagnosis and in mastering pathophysiology. Digestion of this information should be followed by a pivot to current scientific journals for recent updates. The derived information should then be filed away in the reader’s intellectual memory bank. Clinical expertise will now develop and can be added to the investigator’s diagnostic abilities.