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[Echography in the study of sialolithiasis].
G Angelelli1, G Favia, L Macarini
1Istituto di Radiologia, Università, Bari.
La Radiologia Medica
|March 1, 1990
Summary
Ultrasound (US) effectively detects salivary gland stones (sialolithiasis), identifying intraparenchymal calculi and associated swelling. This imaging is valuable for evaluating gland changes and monitoring recurrent cases.
Area of Science:
- Radiology
- Otolaryngology
- Medical Imaging
Context:
- Sialolithiasis, a common condition affecting major salivary glands, presents diagnostic challenges.
- Accurate imaging is crucial for identifying calculi and associated pathological changes.
- Ultrasound (US) is a non-invasive imaging modality with potential in diagnosing salivary gland disorders.
Purpose:
- To evaluate the diagnostic utility of ultrasound (US) in patients with sialolithiasis of the major salivary glands.
- To assess the ability of US to detect intraparenchymal and intraductal calculi.
- To identify associated sonographic pathological features in sialolithiasis.
Summary:
- Ultrasound (US) was used to examine 38 patients with major salivary gland sialolithiasis (37 submandibular, 1 parotid).
- US successfully detected all intraparenchymal calculi and 59% of intraductal calculi.
- Associated findings included gland swelling (94%), ductal ectasia (61%), and irregular glandular echotexture in cases of multiple stones.
Impact:
- US is a useful diagnostic tool for sialolithiasis, enabling evaluation of late-stage glandular structural alterations.
- The non-invasive nature of US allows for frequent follow-up in cases of multiple or recurrent stones.
- Findings support the integration of US in the management protocol for salivary gland stone disease.