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Comparison of Sialendoscopy, Ultrasonography and Sialography in Diagnostics of Ductogenic Diseases of Salivary Glands (79 cases).


Authors: P. Štrympl 1;  L. Staníková 1;  T. Jonszta 2,3;  P. Matoušek 1,2;  T. Pniak 1;  H. Tomášková 4;  Pavel Komínek 1,2
Authors‘ workplace: ORL klinika, Fakultní nemocnice Ostrava, přednosta prof. MUDr. P. Komínek Ph. D., MBA 1;  Lékařská fakulta Ostravské univerzity, Katedra kranifaciálních oborů 2;  Radiodiagnostický ústav, Fakultní nemocnice Ostrava, přednosta doc. MUDr. P. Krupa, CSc. 3;  Ústav epidemiologie a ochrany veřejného zdraví, Lékařská fakulta Ostravské univerzity 4
Published in: Otorinolaryngol Foniatr, 64, 2015, No. 2, pp. 73-78.
Category: Original Article

Overview

Introduction:
Sialendoscopy (SE) represents a modern tool in ductal diagnostics. The aim of the study was comparison of diagnostics methods (sialendoscopy, ultrasonography and x-ray sialography) in management of benign obstruction salivary gland disease.

Material and method:
Seventy-six patients with 79 affected glands were incorporate in our study between 2012 and 2014. The patients underwent ultrasonography (US), X-ray sialography (SG) and sialendoscopy (SE) of affected gland. The results were divided into groups: I- lithiasis, II- stenosis or prestenotic dilatation, III – normal finding. SE was used as reference diagnostic method for US and SG.

Results:
US (74 glands) described sialolith (I), stenosis (II) and normal finding (III) in 25, 0 and 8 glands respectively. Sensitivity for sialolith (I) finding was 71.9%, sensitivity for stenosis (II) was 0%. Specificity of US was 66.7%. SG (73 glands) diagnosed sialolith (I), stenosis (II) and normal finding in 26, 20 and 10 glands. Sensitivity of SG for sialolith (I) and stenosis (II) were 86.7 % and 69.0% respectively. Specificity of SG was 71.4%. SE determined sialolith (I), stenosis (II) and normal finding (III) in 33, 30 and 16 glands.

Conclusion:
SE achieves excellent results in ductal diseases diagnostics the main advantage of SE is direct visualization of the ducts and possibility of mini invasive intervention.

Keywords:
sialendoscopy, ultrasonography, X-ray sialography, benign obstruction disease, major salivary glands


Sources

1. Andretta, M., Tregnaghi, A., Prosenikliev, V., Staffieri, A.: Current opinions in sialolithiasis diagnosis and treatment. Acta Otorhinolaryngol. Ital., 25, 2005, s. 145-149.

2. Becker, M., Marchal, F., Becker, C., Dulguerov, P.: Sialolithiasis and salivary ductal stenosis: diagnostic accuracy of MR sialography with a three-dimensional extended-phase conjugate-symmetry rapid spin-echo sequence. Radiology, 217, 2000, 2, s. 347-358.

3. Bialek, E., Jakubowski, W., Zajkowski P.: Ultrasonography of salivary glands: Anatomy and spatial relationships, pathologic conditions and pitfalls. RadioGraphics, 2006, 26, s. 745-463.

4. Bradley, P. J., Huntinas-Lichius O.: Salivary gland disorders and diseases: Diagnosis and management. Thieme, 2011, ISBN: 9783131464910.

5. Brown, J. E.: Minimally invasive techniques for the treatment of benign salivary gland obstruction. Cardiovasc. Intervent Radiol., 2002, 25, s. 345-351.

6. Fritsch, M. H.: Sialendoscopy and lithotripsy. Otolaryngologic. Cloníc. of North America, 2009, 6, s. 915-1229.

7. Geisthoff, U. V., Lehnert, B., Verse, T.: Ultrasound-guided mechanical intraductal stone fragmentation and removal for sialolithiasis. Surg. Endosc, 20, 2006; s. 690-694.

8. Gritzmann, N., Rettenbacher, T., Hollerweger, A., Macheiner, P., Hübner, E.: Sonography of the salivary glands. Eur. Radiol., 13, 2003, s. 964-975.

9. Mc Gurk, M., Makdissi, J., Brown, J. E.: Intra-oral removal of stones from the hilum of the submandibular gland: report of technique and morbidity. Int. J. Oral Maxillofac., Surg., 2004, 33, s. 683-686.

10. Hasson, O.: Modern sialography for screening of salivary gland obstruction. J. Oral. Maxillofac. Surg., 2, 2010, 68, s. 276-280.

11. Jager, L., Menauer, F., Holzknecht, N., Scholz, V.: Sialolithiasis: MR sialography of the submandibular duct: an alternative to conventional sialography and US? Radiology, 216, 2000, s. 665-671.

12. Kalinowski, M., Heverhagen, J. T., Rehberg, E., Klose, K. J.: Comparative study of MR sialography and digital subtraction sialography for benign salivary gland disorders. AJNR Am. J. Neuroradiol., 23, 2002, 9, s. 1485-1492.

13. Koch, M., Zenk, J., Bozzato, A., Bumm, K., Iro, H.: Sialoscopy in case sof unclear swelling of major salivary glands. Otolaryngol¨. Head Neck Surg., 133, 2005, s. 863-868.

14. Koch, M., Iro, H., Zenk, J.: Sialendoscopy – based diagnosis and classification of parotid duct stenoses. Laryngoscope, 119, 2009, s. 1696-1703.

15. Koch, M., Zenk, J., Iro, H.: Algorithms for treatment of salivary gland obstructions. Otolaryngol. Clin. North Am., 42, 2009, 6, s. 1173-1192.

16. Koch, M., Zenk, J., Iro, H.: Diagnostic and interventional sialoscopy in obstructive disease of the salivary glands. HNO, 56, 2008, 2, s. 139-144.

17. Koch, M., Iro, H., Klintworth, N., Psychogios, G., Zenk, J.: Results of mininally invasive gland-preserving treatment in different types of parotid duct stenosis. Arch. Otolaryngol. Head and Neck Surg., 138, 2012, s. 804-810.

18. Marchal, F., Dulguerov, P.: Sialolithiasis management. The state of the Art. ARCH Otolaryngol. Head Neck Surg., 129, 2003, s. 951- 956.

19. Marchal, F., Dulguerov, P., Becker, M., Barki, G., Disant, F., Lehmann, W.: Submandibular diagnostic and interventional sialendoscopy: new procedure for ductal disorders. Ann. Otol. Rhinol. Laryngol., 111, 2002, 1, s. 27-35.

20. Nahlieli, E.: Modern management preserving the salivary glands. Isradon Izrael, 2007, s. 149, IBSN 978-5-94467-050-2.

21. Nahlieli, O., Nakar, L. H., Nazarian, Y., Turner, M. D.: Sialoendoscopy: A new approach to salivary gland obstructive pathology. J. Am.Dent. Assoc., 137, 2006, s. 1394-1400.

22. Orlandi, M A., Pistorio, V., Guerra, P. A.: Ultrasound in sialadenitis. J. Ultrasound. 1, 2013, 16, s. 3–9.

23. Rotnágl, J., Plánička, M., Navara, M., Astl, J.: Úloha sialoendoskopie v miniinvazivní léčbě sialolitiázy. Otorinolaryng. a Foniat. /Prague/, 63, 2014, 4, s. 220-226.

24. Stárek, I.: Choroby slinných žláz, Grada Publishing, Praha, 2000, IBSN 8071699667.

25. Štrympl, P., Komínek, P., Pniak, T.: Sialendoskopie – nová metoda v diagnostice a léčbě benigní obstrukční choroby slinných žláz. Endoskopie, 20, 2009, 1, s. 29-33.

26. Terraz, S., Poletti, P. A., Dulguerov, P., Dfouni, N., Becker, C. D., Marchal, F.: How reliable is sonography in the assessment of sialolithiasis? AJR Am. J. Roentgenol., 201, 2013, 1, s. 104-109.

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