Fogorvosi szemle, 2007 (100. évfolyam, 1-6. szám)

2007-04-01 / 2. szám

58

FOGORVOSI SZEMLE

100. évf. 2. sz. 2007.

13. Gritzmann N, Rettenbacher T, Hollerweger A, Macheiner P, Hübner E: Sonography of the salivary glands. Eur Radiol 2003; 13: 964- 975.

14. Gyenes V, Inovay J, Benedek E, Bodo M: A parotisduzzanat diffderenciáldiagnózisa. Fogorv Szmle 1978; 71(12): 368-370.

15. Haug Rh, Bradrick Jp, Indresano At: Xeroradiography in the diagnosis of nonradiopaque sialoliths. Oral Surg Oral Med Oral Pathol 1989; 67 (2): 146-148.

16. Lipa B, Beer-Sheva: Giant salivary gland calculi: Diagnostic imaging and surgical management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94: 320-323.

17. Morimoto Y, Tanaka T, Tominaga K, Yoshioka I, Kito S, Ohba T: Clinical application of Magnetic Resonance sialographic 3-dimensional reconstruction imaging and Magnetic Resonance virtual endoscopy for salivary gland duct analysis. J Oral Maxillofac Surg 2004; 62: 1237-1245.

18. Nahlieli O, Bar T, Shacham R, Eliav E, Hecht-Nakar L: Management of chronic recurrent parotitis: Current therapy. J Oral Maxillofac Surg 2004; 62: 1150-1155.

19. Nahlieli O, Baruchin Am: Endoscopic technique for the diagnosis and treatment of obstructive salivary gland disease. J Oral Maxillofac Surg 1999; 1394-1401.

20. Nahlieli O, Shacham R, Yoffe B, Eliav E: Diagnosis and Treatment of Strictures and kinks in salivary gland ducts. J Oral Maxillofac Surg 2001 ; 59: 484-490.

21. Orosz M: Többszörös nyálkőképződés a ductus submandibularisban. Fogorv Szmle 1977; 70 (12): 370-371.

22. Pataky L, Köves Zs, Rajki J, Ackermann A: Nagyméretű submandibularis nyálkövek. Fogorv Szmle 1980; 73 (4): 100-102.

23. Rabinov Jd: Imaging of salivary gland pathology. Radiol Clin North Am 2000; 38 (5): 1047-1057.

24. Rauch S, Gorlin RJ: Diseases of the salivary glands. In: Gorlin RJ, Goldman HM (eds): Oral pathology. St. Louis, Moseby, 1970. 962-1070.

25. Schmelzeisen R, Milbradt H, Reimer P, Gratz P, Wittekind C: Sonography and scintigraphy in the diagnosis of diseases of the major salivary glands. J Oral Maxillofac Surg 1991 ; 49: 798-803.

26. Schow SR, Miloro M: Diagnosis and management of salivary gland disorders. In: Peterson LJ (ed.): Oral and Maxillofacial Surgery. 3rd ed. Mosby, St. Louis, 1998; 486-509.

27. Schurawitzki H, Gritzmann N, Fezoulidis J, Karnel F, Kramer J: Value and indications for high-resolution real-time sonography in nontumor salivary gland diseases. Rofo Fortschr Geb Rontgenstr Nuklearmed 1987; 146: 527.

28. Schwerk Wb, Schroeder Hg, Eichhorn T: High-resolution real-time sonography in salivary gland diseases. I. Inflammatory diseases. HNO 1985; 33: 505-510.

29. Sherman Ja, Mcgurk M: Lack of correlation between water hardness and salivary calculi in England. Br J Oral Maxillofac Surg 2000; 38 (1): 50-53.

30. Szabó Gy: Nyálmirigybetegségek. In: Szabó Gy (szerk.): Szájsebészet, maxillofacialis sebészet. Semmelweis Kiadó, Budapest, 1997. 127-142.

31. Tarantino L, Giorgio A, Stefano G, De Farella N : Ultrasonography in the diagnosis of post-pubertal epidemic parotitis and its complications. Radiol Med 2000; 99: 461-464.

32. Zenk J, Bozzato A, Koch M, Iro H: Sialoscopy.Initial experiences with a new endoscope. BrJ Oral Maxillofac Surg 2004; 42: 293-298.

33. Zenk J, Constantinidis J, Kydles S, Hornung J, Iro H: Klinische und diagnostische Befunde bei der Sialolithiasis. HNO 1999; 47: 963-969.

34. Zenk J, Hosemann Wg, Iro H: Diameters of the main excretory ducts of the adult human submandibular and parotid gland. A histologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85: 576-580.

35. Ziegler Cm, Seubert M, Steveling H, Mühling J: Endoscopy: a minimally invasive procedure for diagnosis and treatment of diseases of the salivary glands. Six years of practical experience. Br J Oral Maxillof Surg 2004; 42: 1-7.

Dr. Szalma J, Dr. Olasz L, Dr. Tóth M, Dr. Ács P, Dr. Szabó Gy

Diagnostic value of native x-ray and ultrasonographic examinations of the major salivary glands in sialoadenitis and sialolithiasis

Purpose: The aim of this study was to evaluate diagnostic role of the native x-ray and ultrasonography (US) in sialoadenitis and sialolithiasis.

Materials and methods: During a period of 30 months 52 patients were selected in a study group with lithiasis and adenitis of the major salivary glands. Panoramic and either occlusal plain radiographs (sublingual and submandibular cases) or anteroposterior „blowed out” bucca and intraoral bucca radiographs (parotis cases), and US were taken of all patients. Further investigations, such as CT, MRI or FNAB were performed to discover probable differential diagnostic problems.

Results: The sensitivity of US for salivary stones was 75,0 %, for inflammation was 77,4 %. The sensitivity of x-ray for salivary stones was 60,7 %. The cumulative effectivity of x-ray and US for sialolithiasis was 91,3 %. In the remaining two cases of sialolithiasis, CT supported the earlier diagnosis. In sialoadenitis, twice FNAB, four times MRI verified the supposed diagnosis.

Conclusions: Despite the advantages of CT and MR evaluations, sonography and native x-ray seems to keep their priorities as diagnostic methods, because they are cost-effective and easily available in dento-alveolar surgical practice. The lack of intraductal imaging ability might be considered as one of the major disadvantages in evaluation of possible diagnostic alternatives.

Key words: sialoadenitis, sialolithiasis, ultrasonography, radiography