A comparison of parotid imaging characteristics and sialendoscopic findings in obstructive salivary disorders

Abstract

2b.

Diagnostic Imaging in Veterinary Dental Practice

“…Marked dilatation of the parotid duct was apparent at the time of surgery in this patient, and although previous inflammation and possibly infection of the parotid gland were present, it was decided to reconstruct the duct and create a new stoma. In this patient, as in previous reports, 5,10 the choice of treatment produced a successful outcome.…”

Gland‐preserving surgery for salivary stones and the utility of sialendoscopes

“…This study suggests that gland‐preserving incisional approaches without the use of endoscopes are more likely to be successful when there is a definable target, that is, a stone that is immobile, palpable, of sufficient size, and clearly delineated on preoperative imaging. Currently, thin‐cut (1.5 mm) CT scan without contrast is the favored imaging modality in North America for evaluation of salivary stones . CT scans have an estimated sensitivity of 98% and specificity of 88% for stone detection, which is higher than ultrasound (sensitivity 65%; specificity 80%) when compared to sialendoscopy as the gold standard .…”

“…Currently, thin-cut (1.5 mm) CT scan without contrast is the favored imaging modality in North America for evaluation of salivary stones. 21 CT scans have an estimated sensitivity of 98% and specificity of 88% for stone detection, which is higher than ultrasound (sensitivity 65%; specificity 80%) when compared to sialendoscopy as the gold standard. 22 If a surgeon becomes familiar with the incisional approaches of gland-preserving therapy and has a definable, fixed target, the majority of patients with sialolithiasis can be managed on site thereby reducing the need to refer to a center with salivary endoscopy.…”

The Chronic Obstructive Sialadenitis Symptoms Questionnaire to assess sialendoscopy‐assisted surgery

“…All sialendoscopic procedures were performed at the UCSF by one of three surgeons (D.W.E., W.R.R., and J.L.C.) and generally followed the algorithm described in Marchal and Dulguerov 25 based on both preoperative imaging characteristics 26 and endoscopic findings. If a sialolith was present and potentially amenable to endoscopic extraction, either endoscopic forceps or basket was used to attempt removal of the sialolith.…”