Ultrasonographic biometry in salivary glands

Dost, P.; Kaiser, Scott

doi:10.1016/s0301-5629(97)00152-x

Cited by 38 publications

(36 citation statements)

References 9 publications

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“…In line with other studies (8,9,10), patients presenting with symptoms of pain, swelling, or meal time syndrome initially underwent B-mode ultrasound of the salivary glands. Computerised tomography was performed when ultrasound results were inconclusive; this helped us assess the size, location, and number of calculi, as well as those calculi in the deeper parts of the submandibular or parotid gland that were not picked up by ultrasound.…”

Section: Methodsmentioning

confidence: 71%

Comparison between Sialendoscopy and Conventional Methods in the Treatment of Sialolithiasis

Faizal

Gangadharan

Thankappan

2017

MJMS

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Background: Sialendoscopy is gaining in popularity in treating calculus disease. The delicacy of the instrument and the diameter of the salivary ducts are factors that limit the ability to achieve complete success. There is also continued speculation regarding the utility of the procedure, especially among clinicians who are masters of conventional methods like sialadenectomy and sialodochotomy.Objective: To assess the efficacy of sialendoscopy over conventional methods in treating sialolithiasis.Methods: A prospective case control study was conducted in a tertiary care centre; this study involved 50 patients of sialolithiasis, and it extended over a 36-month period. All had undergone treatment, either by conventional methods or interventional sialendoscopy. All patients with nonpalpable calculi smaller than 6 mm underwent interventional sialendoscopy. Failed sialendoscopies and larger nonpalpable calculi were removed through sialadenectomy. The outcome variables studied included calculus removal, postoperative symptoms, and gland preservation.Results: The success rate in terms of calculus removal by sialendoscopy was 88%, versus 100% by sialadenectomy. The salivary gland was preserved in 88% of the cases in the sialendoscopy group. Only 12% of patients were symptomatic.Conclusion: Sialendoscopy was effective in removing calculi of various sizes; it was definitely superior to conventional methods. Sialadenectomy should be reserved for cases either not suitable for sialendoscopy or in which there was an intervention failure.

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Section: Methodsmentioning

confidence: 71%

Comparison between Sialendoscopy and Conventional Methods in the Treatment of Sialolithiasis

Faizal

Gangadharan

Thankappan

2017

MJMS

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“…In all 15 patients, both sides of the submandibular glands were involved (30 of 30 glands). The glands ranged in size from 27 to 50 mm (average, 39.1 mm; median, 39.0 mm) in the maximum longitudinal diameter (normal mean adult size ± SD, 27 ± 5.7 mm) and 17 to 40 mm (average, 28.4 mm; median, 27.0 mm) in the depth (normal adult size, 14.3 ± 2.9 mm) 20 . All of the glands showed well‐defined borders.…”

Section: Resultsmentioning

confidence: 99%

Localized or Diffuse Lesions of the Submandibular Glands in Immunoglobulin G4-Related Disease in Association With Differential Organ Involvement

Asai

Okami

Nakamura

et al. 2013

Journal of Ultrasound in Medicine

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Objectives The purpose of this study was to assess the relationship between the sonographic characteristics of the submandibular glands and organ involvement at the initial presentation in patients with immunoglobulin G4 (IgG4)‐related disease. Methods We conducted a retrospective study that included 15 patients who had bilateral swollen submandibular glands and elevated serum IgG4 levels between January 2005 and December 2010. Results In all 15 patients, sonography revealed the involvement of both sides of the submandibular glands. The sonographic appearance of each gland was classified into two types: localized tumor‐forming and diffuse focal types. On the basis of this typing, all 15 patients were classified into two groups: a group with the localized tumor‐forming type observed on one or both sides of the glands (n = 10) and a group with the diffuse focal type present on both sides (n = 5). All 10 patients in the former group had lesions in local exocrine organs, such as the lacrimal and parotid glands, with regional lymphadenopathy. In contrast, all 5 patients in the latter group had lesions in abdominal organs, such as autoimmune pancreatitis and sclerosing cholangitis. Conclusions The sonographic patterns of the submandibular glands in patients with IgG4‐related disease can be divided into two types: localized tumor‐forming and diffuse focal. The distinctive patient groups defined by the sonographic patterns in both glands were associated with differential organ involvement and thus could be used as indicators of the disease extension and specific organ involvement.

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“…Sonography revealed that both sides of the submandibular glands were involved in both patients. The glands ranged in size from 35 to 44 mm in the maximum longitudinal diameter (normal adult size, mean ± SD, 27 ± 5.7 mm) and 27 to 30 mm in the depth (normal adult size, 14.3 ± 2.9 mm) 11 . All 4 of the glands showed well‐defined borders with a normal contour (Figures 1A and 2A).…”

Section: Case Descriptionsmentioning

confidence: 99%

Sonographic Appearance of the Submandibular Glands in Patients With Immunoglobulin G4-Related Disease

Asai

Okami

Nakamura

et al. 2012

Journal of Ultrasound in Medicine

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Swelling of the salivary glands is often an initial sign of immunoglobulin G4 (IgG4)-related disease or IgG4-related sclerosing/autoimmune disease. We encountered 2 patients with IgG4-related disease who showed swollen submandibular glands with a unique characteristic sonographic pattern. Bilateral submandibular glands of both patients were enlarged with a smooth contour. The internal echo texture indicated multiple hypoechoic foci scattered against a heterogeneous background, which characteristically appeared with a mottled or irregular netlike appearance. A histopathologic examination of a resected section showed multiple foci of dense infiltrated lymphoplasmacytic cells and lymph follicles encircled by fibrous bands. A mottled appearance in the sonographic findings of the submandibular glands suggests the characteristic of IgG4-related disease and can be helpful in the differential diagnosis at the initial manifestation.

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Ultrasonographic biometry in salivary glands

Cited by 38 publications

References 9 publications

Comparison between Sialendoscopy and Conventional Methods in the Treatment of Sialolithiasis

Comparison between Sialendoscopy and Conventional Methods in the Treatment of Sialolithiasis

Localized or Diffuse Lesions of the Submandibular Glands in Immunoglobulin G4-Related Disease in Association With Differential Organ Involvement

Sonographic Appearance of the Submandibular Glands in Patients With Immunoglobulin G4-Related Disease

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