XXV Secretory Sialography in Diseases of the Major Salivary Glands

Im, Blatt; Aj, French; Holt, John F.; Jh, Maxwell; Rubin, Philip

doi:10.1177/000348945606500201

Cited by 31 publications

(7 citation statements)

References 15 publications

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“…The Iowa Parotid Sialogram Classification system precisely localized abnormalities with previous anatomic descriptions of 'peripheral duct dilation' (Blatt et al, 1956) to specify duct dilation/ sialectasis occurring in the 3° ducts. Peripheral duct dilation was graded using the classification system developed by Blatt et al in the 1950's and implemented in the AECG 2002 criteria for SS.…”

Section: Image Interpretationmentioning

confidence: 99%

“…(Kalinowski, Heverhagen, Rehberg, Klose, & Wagner, 2002;Sobrino-Guijarro, Cascarini, & Lingam, 2013) Sialographic abnormalities in patients with SS may include ductal strictures, ductal dilatations/sialectasis, diminished intraglandular ducts, or destruction of the gland parenchyma. (Blatt, French, Holt, Maxwell, & Rubin, 1956;Sobrino-Guijarro et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…(Aframian, Keshet, & Nadler, 2018;Koch & Iro, 2017;Koch, Kunzel, Iro, Psychogios, & Zenk, 2014;Zhang et al, 2019) Existing grading systems based on sialography have employed inconsistent terminology to define ductal anatomy and fail to define the location and severity of ductal pathology. (Blatt et al, 1956;Zhang et al, 2019;Zou, Wang, Zhu, Wu, & Yu, 1992) Several grading systems have been reported that are based on sialendoscopy, which provides a limited view of the ductal system due to the inability to image beyond severe stenoses that may occur in the main duct. (Koch & Iro, 2017;Marchal et al, 2008) Additionally, tertiary ducts and acini cannot be evaluated with sialendoscopy.…”

Section: Introductionmentioning

confidence: 99%

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Sialographic analysis of parotid ductal abnormalities associated with Sjogren's syndrome

et al. 2020

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Objectives To analyze the location and degree of parotid ductal abnormalities associated with Sjogren's syndrome (SS) and to correlate findings with the duration of the disease. To develop a classification system based on contemporary sialography techniques and employ the system to grade findings on sialograms. To assess the role for therapeutic intervention in patients with SS. Methods Retrospective chart review of a consecutive series of 337 sialograms done by the senior investigator over a 10‐year period identified 26 sialograms in patients who met the criteria for SS as defined by the American‐European Consensus Group (2002). A classification system was developed to grade the degree of ductal abnormalities identified on the sialograms. Individual, initial blinded review of these sialograms was performed by two head and neck radiologists to identify and grade abnormalities. Radiographic findings were correlated with patient history including symptom duration. Results All patients with SS had stenoses within the ductal system. About 73.1% of patients had stenoses in each branch of the ductal system (primary, secondary, and tertiary ducts). In 19% of patients, the main duct was of normal caliber despite the presence of stenosis in the more proximal ducts (secondary and tertiary ducts). Peripheral (proximal) duct dilation was characterized among those affected in patterns classified as destructive (34.6%), cavitary (26.9%), globular (11.5%), or punctate (11.5%). A statistically significant positive correlation (p = .0360) was identified between symptom duration and degree of main ductal stenosis. Conclusion Sialography may be useful to objectively assess the degree of parotid ductal damage in SS employing a newly proposed classification system. This assessment may assist clinicians in tailoring management to selectively include ductal dilation.

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Section: Image Interpretationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sialographic analysis of parotid ductal abnormalities associated with Sjogren's syndrome

et al. 2020

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“…Thus, IA-CEUS could be a viable option to displace this diagnostic tool as IA-CEUS is able to detect the typical changes of the ductal system, with regard to chronic sialadenitis, classified as punctate, globular, cavitary, and destructive sialectasia of the acinar system (Fig. 11a) [34,35].…”

Section: Sjögren's Syndromementioning

confidence: 99%

Intraductally applied contrast-enhanced ultrasound (IA-CEUS) for evaluating obstructive disease and secretory dysfunction of the salivary glands

et al. 2010

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Obstructive diseases of the salivary glands are a common problem, usually based on sialolithiasis, duct stenosis, foreign bodies or other more rare causes. Secretory dysfunction, often associated with Sjögren syndrome or post radiation treatment, is also a frequent problem. Several diagnostic tools exist to classify the disease; however conventional radiological imaging or ultrasound does not provide a diagnosis in 5-10% of all cases. Intraductally applied contrast-enhanced ultrasound (IA-CEUS) improves the visualization of obstructive diseases of the salivary glands. IA-CEUS is a promising tool for assessing the ductal system and to diagnose and characterize abnormalities. This study describes the assessment of IA-CEUS in diagnosing different obstructive and chronic inflammatory conditions of the salivary glands.

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“…The modification of this method, called "physiologic sialography" or "secretory sialography," involves the im¬ mediate emptying of the gland by reflex stimulation of the glands, followed by x-ray examination. Blatt and co-authors 184 have used this method to establish criteria for…”

Section: Neckmentioning

confidence: 99%

Tumors of the Nose and Throat Summaries of the Bibliographic Material Available for 1956-1957

Devine¹

1961

Archives of Otolaryngology - Head and Neck Surgery

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XXV Secretory Sialography in Diseases of the Major Salivary Glands

Cited by 31 publications

References 15 publications

Sialographic analysis of parotid ductal abnormalities associated with Sjogren's syndrome

Sialographic analysis of parotid ductal abnormalities associated with Sjogren's syndrome

Intraductally applied contrast-enhanced ultrasound (IA-CEUS) for evaluating obstructive disease and secretory dysfunction of the salivary glands

Tumors of the Nose and Throat Summaries of the Bibliographic Material Available for 1956-1957

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