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[Ultrasonography: a complement to sialography in recurrent chronic childhood parotitis]
S Encina1, P Ernst, J Villanueva
1Service de Chirurgie Maxillo-Faciale, Hôpital Clinique San Borja Arriaran, Santiago, Chili.
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|October 1, 1996
Summary
Ultrasonography (USG) and sialography offer similar diagnostic capabilities for Recurrent Parotitis in Childhood (RPC). USG provides valuable insights into disease severity, prognosis, and treatment, proving a non-invasive and easily accepted diagnostic tool for children.
Area of Science:
- Pediatric Radiology
- Diagnostic Imaging
- Otolaryngology
Background:
- Recurrent Parotitis in Childhood (RPC) poses diagnostic challenges.
- Evaluating imaging modalities for RPC diagnosis is crucial.
Purpose of the Study:
- To compare the diagnostic contributions of ultrasonography (USG) and sialography for RPC.
- To assess the utility of USG in evaluating RPC severity and management.
Main Methods:
- Bilateral parotid gland USG was performed on 16 children with RPC and 16 healthy controls.
- USG findings in RPC patients were compared to normal glands.
- USG results were compared with previous sialography in 16 RPC patients.
Main Results:
- USG revealed a specific pathological pattern for RPC: homogeneous, micronodular parenchyma with increased density and hypoechogenous nodules.
- Diagnostic accuracy of USG and sialography for RPC was not significantly different (p > 0.05).
- USG correlated with clinical presentation, providing parameters for glandular damage severity, and identified bilateral involvement in unilateral cases.
Conclusions:
- Ultrasonography is a valuable, non-invasive tool for diagnosing RPC in children.
- USG aids in assessing disease severity, prognosis, and guiding treatment and follow-up.
- USG is well-accepted by children due to its harmless and painless nature.