Digital sialography: imaging and intervention

Buckenham, T.M.; George, C D; McVicar, Duncan; Moody, Alexander; Coles, G S

doi:10.1259/0007-1285-67-798-524

Cited by 43 publications

(21 citation statements)

References 8 publications

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“…Several new techniques have recently become available to treat sialolithiasis and salivary duct stenosis by way of an intraluminal approach and include extracorporal sialolithotripsy, endoscopic stone removal, lithotripsy, and endoluminal balloon dilatation. Although the increasing use of these techniques greatly reduces the risk of facial or lingual nerve damage that is involved with sialadenectomy, it also enhances the need for precise pretherapeutic mapping of the salivary duct system (12,13,26,27,29,(31)(32)(33)(34). Ideally, imaging should be noninva- sive, so that endoluminal instrumentation can be combined with the benefit of treatment.…”

Section: Discussionmentioning

confidence: 99%

“…To best visualize the intraoral opening of either the Stensen or Wharton duct, all patients received a secretogogue (fresh lemon) prior to study commencement. The sialographic equipment included a set of 00 -0-caliber lacrimal dilators (Laubscher Medical Equipment, Höll-stein, Switzerland), 0.012-0.021-inch sialographic cannulas (Manashil-type cannulas or modifications of butterfly needles; Cook Europe, Bjaeverskov, Denmark), a polyethylene connecting tube, a 5-mL syringe, and a low-osmolarity water-soluble contrast agent such as ioxaglate sodium and ioxaglate meglumine (Hexabrix 200; Guerbet, France) (12)(13)(14). Once the ductal opening was identified, the dilators were used to widen it for easier cannula placement.…”

Section: Conventional Sialographymentioning

confidence: 99%

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Sialolithiasis and Salivary Ductal Stenosis: Diagnostic Accuracy of MR Sialography with a Three-dimensional Extended-Phase Conjugate-Symmetry Rapid Spin-Echo Sequence

Becker¹,

Marchal²,

Becker³

et al. 2000

Radiology

157

117

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Section: Discussionmentioning

confidence: 99%

Section: Conventional Sialographymentioning

confidence: 99%

Sialolithiasis and Salivary Ductal Stenosis: Diagnostic Accuracy of MR Sialography with a Three-dimensional Extended-Phase Conjugate-Symmetry Rapid Spin-Echo Sequence

Becker¹,

Marchal²,

Becker³

et al. 2000

Radiology

157

117

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“…Furthermore, in recent years interventional radiologists have begun to treat salivary calculi. 1 This dispersal can result in a false impression of low incidence of the disease and its demands on medical resources.…”

Section: Methodsmentioning

confidence: 99%

Symptomatic sialoadenitis and sialolithiasis in the English population, an estimate of the cost of hospital treatment

Escudier¹,

McGurk²

1999

Br Dent J

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RESEARCHeconomics medical provision that serves the remainder. Further, the organisation of the state system is such that operative intervention in the primary care setting is negligible. The vast majority of procedures are undertaken in the secondary or tertiary care sector and a national record of treatment in these sectors is available in the form of hospital admission data by individual ICD code. This provides a method of assessing the incidence of symptomatic salivary disease in the English population.The relevance of this analysis relates to the general desire to move away from invasive surgery and toward minimally invasive procedures. Apart from a reduced morbidity these techniques usually have the added advantage of releasing or reducing demand on in-patient facilities. Minimally invasive methods are now the treatment of choice for urolithiasis with surgical treatment restricted to less than 5% of patients. 4 By adapting these techniques and equipment the technology can be applied to the salivary system and initial steps in this direction have proved promising. 5 The present study was designed to establish the incidence of symptomatic sialoadenitis and sialolithiasis, and to establish if further developments in this field can be driven by financial imperatives. MethodsData were obtained from the Department of Health based on ICD 10 codes and the Hospital Episode Statistics (HES) figures with respect to the 15 health regions in England. This corresponds to a population of 48,532,705 in the census of 1993. The data was corrected at source (DHSS grossing factor) for deficiencies in data collection and referred to all finished consultant episodes (FCEs) for in-patient and day-case admissions in state hospitals. An FCE was defined as a period of patient care under one consultant in one health area. The figures may underestimate the total number of hospital admissions. This is because an individual patient may have been admitted more than once during a treatment episode. Similarly, if the patient transferred to another consultant they would be counted twice. While these sources of error could not be quantified they are believed to have little influence on the overall figures. The ICD 10 codes relating to sialoadenitis and sialolithiasis were interrogated for the years 1991-1995 inclusive. Sialoadenitis was included in the analysis since occult calculi are the underlying cause of adenitis in the majority of cases. 6 Post surgical sialoadenitis is now a rare occurrence.A survey of hospital fees was undertaken to determine the national cost for treating these two conditions. In each health region, three district general hospitals and one teaching hospital, were randomly chosen and the finance manager asked to provide an Objective To establish the annual incidence, and cost of treating, symptomatic salivary stones and sialoadenitis. Materials and methods Data relating to sialolithiasis and sialoadenitis were obtained from the Department of Health with respect to the 15 health regions in England during the period 1...

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“…Balloon sialoplasty (BSP) under fluoroscopic guidance is a recent nonsurgical method of relieving obstruction caused by salivary duct stenosis. There have been several reports of balloon dilatation of parotid duct stricture with limited follow-up [6][7][8][9], but there are no reported cases of balloon dilatation of submandibular duct stenosis outside our own experience [9].…”

mentioning

confidence: 89%

“…1). Oblique views were rendered unnecessary by digital subtraction [9]. Exposures were taken at 1 frame per second for 4 sec followed by 1 frame every 2 sec.…”

Section: Techniquementioning

confidence: 99%

Per Oral Balloon Sialoplasty: Results in the Treatment of Salivary Duct Stenosis

Brown

Shepherd

Buckenham

1997

Cardiovasc Intervent Radiol

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Digital sialography: imaging and intervention

Cited by 43 publications

References 8 publications

Sialolithiasis and Salivary Ductal Stenosis: Diagnostic Accuracy of MR Sialography with a Three-dimensional Extended-Phase Conjugate-Symmetry Rapid Spin-Echo Sequence

Sialolithiasis and Salivary Ductal Stenosis: Diagnostic Accuracy of MR Sialography with a Three-dimensional Extended-Phase Conjugate-Symmetry Rapid Spin-Echo Sequence

Symptomatic sialoadenitis and sialolithiasis in the English population, an estimate of the cost of hospital treatment

Per Oral Balloon Sialoplasty: Results in the Treatment of Salivary Duct Stenosis

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