Comparative analysis of sialendoscopy, sonography, and <scp>CBCT</scp> in the detection of sialolithiasis

Schwarz, David; Kabbasch, Christoph; Scheer, Martin; Mikolajczak, Stefanie; Beutner, Dirk; Lüers, Jan Christoffer

doi:10.1002/lary.24966

Cited by 43 publications

(61 citation statements)

References 12 publications

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“…In consistency with the results of this study, the authors emphasized that the size of the stones was decisive for the false‐negative rate, with significantly higher sensitivity for stones starting from 3 mm in size . Schwarz et al conducted a retrospective study of 43 patients to compare sonography, cone beam CT, and sialoendoscopy as diagnostic procedures. The study showed that sonography had sensitivity of 73%, specificity of 90%, a PPV of 96%, and an NPV of 47%.…”

Section: Discussionsupporting

confidence: 79%

“…Interestingly, the authors also found that cone beam CT did not provide significantly better imaging of these concrements, which had a false‐negative rate of 36.4% (4 of 11). Furthermore, there was no distinction made between the submandibular and parotid glands . In a case series including 24 patients, Jäger et al reported both sensitivity and specificity rates of 80% for diagnosing sialolithiasis in the submandibular gland using sonography in comparison with sialography.…”

Section: Discussionmentioning

confidence: 99%

“…Magnetic resonance sialography and CT in combination with sialography, by contrast, are methods that are capable of differentiating between intraductal and extraductal calcifications with a high level of probability. Jäger et al showed that MR sialography was at least as effective as conventional sialography. A total of 24 patients were examined in that study, and sensitivity and specificity rates of 100% and 80%, respectively, were noted for MR sialography.…”

Section: Discussionmentioning

confidence: 99%

“…The latter is also the most important differential diagnosis when there is unclear ductal dilatation. The literature data on the diagnostic value of sonography are highly variable, with sensitivity ranging from 77% to 94% and specificity values of 80% to 100% for sialolithiasis …”

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confidence: 99%

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Value of Sonography in the Diagnosis of Sialolithiasis: Comparison With the Reference Standard of Direct Stone Identification

Goncalves

Mantsopoulos

Iro

et al. 2017

J of Ultrasound Medicine

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Objectives The aim of this study was to assess the effectiveness of sonography for diagnosing sialolithiasis in comparison with the existing reference standard of direct identification of a stone. Methods A total of 659 glands with signs of obstructive sialadenopathy were evaluated retrospectively. Sonographic examinations of the large head salivary glands had been performed initially in all cases. Direct depiction of a stone during sialoendoscopy or transoral ductal surgery or observation of stone fragmentation with discharge of concrements after extracorporeal shock wave lithotripsy, was regarded as definitive evidence and as the reference standard for the presence of sialolithiasis. The sonographic results were compared with those for direct identification of stones. Results The sensitivity of sonography was 94.7%, with specificity of 97.4%, a positive predictive value of 99.4%, and a negative predictive value of 79.6%. Stones that were not diagnosed correctly on sonography were most often located in the distal area of the duct. Conclusions These results show that sialolithiasis can be diagnosed by sonography with a high degree of certainty. Sonography thus appears to be highly appropriate as the examination method of choice.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Value of Sonography in the Diagnosis of Sialolithiasis: Comparison With the Reference Standard of Direct Stone Identification

Goncalves

Mantsopoulos

Iro

et al. 2017

J of Ultrasound Medicine

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“…After clinical examination, ultrasound is recommended as a primary diagnostic tool [4,5]. However, imaging tools can miss small salivary stones, and also have difficulty in detecting other duct pathologies (e.g., stenoses) which might then show up in sialendoscopy [6,7].…”

Section: Introductionmentioning

confidence: 99%

The Positive Effect of Sialendoscopy with Irrigation Lavage for Sialadenitis without Sialolithiasis or Stenosis

Schwarz¹,

Stuermer²,

Lüers³

2018

ORL

Self Cite

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Aims: The aim of the study was to evaluate different irrigation solutions during sialendoscopy to reduce complaints caused by sialodochitis. Methods: The investigators designed and implemented a retrospective study composed of 94 patients with sialodochitis but no sialolithiasis or relevant stenosis of the salivary duct system. Three different irrigations (normal saline, cortisone single-shot, and cortisone) were used. After the sialendoscopy, the patients were asked about the current status of the affected salivary gland, and the quantity and quality of the gland swelling/inflammation over a follow-up period of 11.6 months (6–24 months). Results: At the time of follow-up, 41 patients (43.6%) no longer had any complaints with the salivary gland in question. In 75.5% of the patients, a satisfying result was achieved. In total, only 3 patients needed submandibulectomy in the course of the study due to persistent complaints. The outcome showed no statistical differences between the mean of the 3 groups (p = 0.149). Conclusion: Sialendoscopy with flushing/lavage seems to be a good treatment option for patients with sialodochitis lacking sialolithiasis. The results of this study suggest that the type of irrigation used during sialendoscopy seems to be secondary.

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Salivary Gland Diseases

Bowers¹,

Vissink²,

Brennan³

2021

Burket's Oral Medicine

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Comparative analysis of sialendoscopy, sonography, and CBCT in the detection of sialolithiasis

Abstract: 4.

Cited by 43 publications

References 12 publications

Value of Sonography in the Diagnosis of Sialolithiasis: Comparison With the Reference Standard of Direct Stone Identification

Value of Sonography in the Diagnosis of Sialolithiasis: Comparison With the Reference Standard of Direct Stone Identification

The Positive Effect of Sialendoscopy with Irrigation Lavage for Sialadenitis without Sialolithiasis or Stenosis

Salivary Gland Diseases

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