Minimally Invasive Techniques for Management of Salivary Gland Pathology

Orthopantomography (OPG), which is also known as panoramic radiography, pantomography, and panoramic imaging, proved its efficacy in infection, trauma, jaw lesions, tumor cases, etc. Calcification of the soft tissues in perimaxillary and perimandibular regions can also be visualized on OPG images. Reports clearly showed sialolith occurrence in the parotid gland in 10%, in submandibular gland in 83%, and in sublingual and minor salivary glands in 7%. Typically, sialoliths are visualized on the panoramic radiographs as radiopaque lesions. They are of round or oval shape, cylindrical or irregularly-shaped calcifications. Only in limited cases, sialoliths can be X-ray negative. The research data shows -from 10 to 20% the salivary stones are radiolucent. Digital OPG combines a lot of advantages. In summary, digital orthopantomography proved its efficacy in diagnostics of sialoliths located in the submandibular gland and its duct. Simultaneously, OPG is more than useful for diagnosis establishment and control of treatment for neighboring specialties.

Section: Introductionmentioning

confidence: 99%

Untitled

2021

Journal`s Award in 2018: Salam O. Salman, MD, DDS, FACS

Tymofieiev¹

2019

Salam O. Salman, MD, DDS, FACS serves in the University of Florida, College of Medicine–Jacksonville as: • Assistant Professor, Department of Oral and Maxillofacial Surgery. • Program Director, Oral and Maxillofacial Surgery Residency. • Clerkship Director. And we cannot even estimate a huge contribution to the Journal that Dr. Salman (Fig) does not only with the cutting-edge articles (Co-authors: Quimby and Fernandes) but also in his work at a position of Section Editor─Robotic Surgery from 2nd Issue of 2017. So, we have no other words to say to a great editor and a role model Dr. Salman, given that humble award, as next: “To a Spiritual Co-founder of the Journal, for the Outstanding Leadership in the field of Robotic Surgery around the Globe Sincere Thanks and Appreciation.”

Effectiveness of Ultrasound in Verification of the Mucus Plugs and Sialoliths of the Wharton`s Duct

Cherniak

Fesenko

2019

The pathological changes in 467 submandibular glands were identified both endoscopically and radiographically, and endoscopic findings showed three types: calculus (91 percent), mucus plug (3 percent), and stenosis (6 percent). —Yu Chuangqi et al, 2013 China Mucus plugs (synonyms: mucous plugs, mucin plugs, fibromucinous plugs and mucosal plugs) and sialoliths (synonyms: salivary stones, salivary calculi, and concrements) belong to the one of the common causes of the obstructive salivary gland disease (synonyms: obstructive sialadenitis and obstructive sialadenopathy). Among other etiologies of obstructive sialadenitis are: foreign bodies, inflammation, kinks, strictures, anatomic malformations, polyps or even tumors. Those causes are found in different percentages. The radiographic investigation e.g. X-ray and computed tomography (CT) are very useful in detection of the salivary stones. Nevertheless, as approximately 80-90 percent of the sialoliths are opaque on a standard review X-ray and CT, and in 10-20% radiolucent. But these methods are not useful in the detection of mucus plugs due to the non-contrast features of the last. There are a lot of studies which described ultrasound features of the sialoliths. Also, there are some studies that demonstrate endoscopic view of the mucosal plugs in a ductal system and in some cases the authors during sialendoscopy noted the floating mucous plugs. But we cannot find articles in PubMed which demonstrate ultrasound and clinical appearance of the obstructive salivary gland disease caused by sialoliths with mucus plugs simultaneously. The purpose of our article is to describe a first and precise description of ultrasound pattern of the mucus plugs comparing with sialolith and their clinical presentation after removal. We report the consecutive gray scale and color Doppler sonograms with a supplemental video.