A case report on Necrotizing Sialometaplasia: Misleading ulcers of the oral cavity

• Author Details:   
• Devika Manoj ^*
• Arunima Mohan
• Siji S
• Joseph Johny
• Sinitha Sreedhar
• Vani MH

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Necrotizing sialometaplasia is a rare, self-limiting condition characterized by necrosis and squamous metaplasia of the salivary gland tissue. First described in 1973, it typically affects the minor salivary glands of the palate. The exact cause remains uncertain, though trauma, surgical procedures, and ischemia are considered possible triggers. Histopathologically, necrotizing sialometaplasia is characterized by coagulative necrosis, squamous metaplasia, and inflammatory changes. Management involves conservative treatment, most cases resolving spontaneously within weeks to months. Accurate diagnosis is crucial to avoid misdiagnosis and unnecessary treatment.