Comparison of Sialendoscopy, Ultrasonography and Sialography in Diagnostics of Ductogenic Diseases of Salivary Glands (79 cases).

Česká verzia

Authors: P. Štrympl ¹; L. Staníková ¹ ; T. Jonszta ^2,3; P. Matoušek ^1,2 ; T. Pniak ¹; H. Tomášková ⁴; Pavel Komínek ^1,2
Authors place of work: ORL klinika, Fakultní nemocnice Ostrava, přednosta prof. MUDr. P. Komínek Ph. D., MBA ¹; Lékařská fakulta Ostravské univerzity, Katedra kranifaciálních oborů ²; Radiodiagnostický ústav, Fakultní nemocnice Ostrava, přednosta doc. MUDr. P. Krupa, CSc. ³; Ústav epidemiologie a ochrany veřejného zdraví, Lékařská fakulta Ostravské univerzity ⁴
Published in the journal: Otorinolaryngol Foniatr, 64, 2015, No. 2, pp. 73-78.
Category: Original Article

Summary

Introduction:
Sialendoscopy (SE) represents a modern tool in ductal diagnostics. The aim of the study was comparison of diagnostics methods (sialendoscopy, ultrasonography and x-ray sialography) in management of benign obstruction salivary gland disease.

Material and method:
Seventy-six patients with 79 affected glands were incorporate in our study between 2012 and 2014. The patients underwent ultrasonography (US), X-ray sialography (SG) and sialendoscopy (SE) of affected gland. The results were divided into groups: I- lithiasis, II- stenosis or prestenotic dilatation, III – normal finding. SE was used as reference diagnostic method for US and SG.

Results:
US (74 glands) described sialolith (I), stenosis (II) and normal finding (III) in 25, 0 and 8 glands respectively. Sensitivity for sialolith (I) finding was 71.9%, sensitivity for stenosis (II) was 0%. Specificity of US was 66.7%. SG (73 glands) diagnosed sialolith (I), stenosis (II) and normal finding in 26, 20 and 10 glands. Sensitivity of SG for sialolith (I) and stenosis (II) were 86.7 % and 69.0% respectively. Specificity of SG was 71.4%. SE determined sialolith (I), stenosis (II) and normal finding (III) in 33, 30 and 16 glands.

Conclusion:
SE achieves excellent results in ductal diseases diagnostics the main advantage of SE is direct visualization of the ducts and possibility of mini invasive intervention.

Keywords:
sialendoscopy, ultrasonography, X-ray sialography, benign obstruction disease, major salivary glands

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