Article: Volume 46 Number 11 Page 1078 - December 2019

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  Dent Update 2019; 46: 1078-1079

Oral and Maxillofacial Surgery/Radiology:  A Diagnostic Dilemma: a Firm Left Submandibular Node

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Abstract: A diagnostic conundrum of a firm, left submandibular node presenting in a 35-year-old female with a history of pain and persistent swelling is described. This paper aims to educate readers on the differential diagnostic dilemma that may be faced in general practice and discusses the importance of shared care in a multidisciplinary setting.

Clinical relevance: The presentation of this clinical case is discussed with radiographic imaging and the multidisciplinary approach undertaken for patient management. Readers can identify the steps undertaken in this case to exclude conditions in the surgical sieve.

Author notes: Aisha Shabir, BDS MJDF RCS(Eng), Dental Core Trainee (email: Aisha.shabir1@nhs.net) Tina Halai, BDS MJDF RCS (Eng), Specialty Registrar in Oral Surgery (Academic Clinical Fellow) and Josiah Eyeson, FDS RCS(Eng), FDS(OS), PhD, Consultant Oral Surgeon, Eastman Dental Hospital, 256 Gray’s Inn Road, London WC1X 8LD, UK.

Objective: To outline steps that can be taken in differential diagnostic dilemmas and discuss the importance of shared care in a multidisciplinary setting.