Using computerized tomography sialography in the diagnosis of parotid diseases

doi:10.19438/j.cjoms.2023.02.010

Abstract

Abstract: PURPOSE: To investigate the key points of technique of computerized tomography sialography (CT-sialography) and its diagnostic value in parotid gland diseases. METHODS: A total of 34 patients with chronic parotitis, Sjogren's syndrome, parotid fistula and parotid tumors and tumor-like lesions were collected. All patients were scanned with spiral CT immediately after iodine contrast injection into the primary parotid duct, followed by image post-processing and disease diagnosis. The diagnostic accuracy was calculated according to the follow-up results and postoperative pathological results. The imaging characteristics of parotid gland diseases were summarized and analyzed. RESULTS: The overall diagnostic accuracy rate was 82.35%. The diagnostic accuracy rate of benign and malignant parotid tumors and tumor-like lesions was 88.24%. CONCLUSIONS: CT-sialography is an effective method for diagnosis of obstructive parotitis, parotid fistula, Sjogren's syndrome and tumor and tumor-like lesions in parotid gland.

Key words: Sialography, Spiral CT, Parotid disease, Diagnosis

CLC Number:

R781.7

GAO An-tian, LIANG Yi, LIN Zi-tong. Using computerized tomography sialography in the diagnosis of parotid diseases[J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(2): 158-162.

References

[1] Jadu FM, Lam EW.A comparative study of the diagnostic capabilities of 2D plain radiograph and 3D cone beam CT sialography[J]. Dentomaxillofac Radiol, 2013, 42(1): 20110319.
[2] Abdalla-Aslan R, Keshet N, Zadik Y, et al.Standardization of terminology, imaging features, and interpretation of CBCT sialography of major salivary glands: a clinical review[J]. Quintessence Int, 2021, 52(8): 728-740.
[3] Lloyd RE, Ho KH.Combined CT scanning and sialography in the management of parotid tumors[J]. Oral Surg Oral Med Oral Pathol, 1988, 65(2): 142-144.
[4] Natasha S.Congenital parotid fistula[J]. J Indian Soc Pedod Prev Dent, 2014, 32(4): 357-361.
[5] 税荣昭, 白金铭. 涎腺造影术的发展及其现状[J]. 国外医学(临床放射学分册),1984,7(3): 132-135.
Shui RZ, Bai JM.Development and current status of salivary gland imaging[J]. Foreign Medical Sciences (Clinical Radiology), 1984, 7(3): 132-135.
[6] 王松灵, 王蒋怡. 慢性复发性腮腺炎的诊断和治疗进展[J]. 口腔疾病防治, 2016, 24(11): 621-626.
Wang SL, Wang JY.Progress in diagnosis and treatment of chronic recurrent parotitis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(11): 621-626.
[7] 奚广伟, 刘影. 腮腺造影螺旋CT检查在腮腺肿物诊断中的应用[J]. 实用口腔医学杂志, 2012, 28(4): 521-524.
Xi GW, Liu Y.Application of spiral CT and sialogram in the diagnosis of parotid tumor[J]. Journal of Practical Stomatology, 2012, 28(4): 521-524.
[8] 张祖燕, 王虎. 口腔颌面医学影像诊断学[M]. 第7版. 北京: 人民卫生出版社. 2020: 148-157.
Zhang ZY, Wang H.Oral and maxillofacial medical imaging diagnostics[M]. 7th Ed. Beijing: People's Medical Publishing House, 2020: 148-157.
[9] 丁长伟, 刘东武, 薛红霞, 等. 干燥综合征的腮腺CT表现[J]. 中国临床医学影像杂志, 2015, 26(5): 317-320.
Ding CW, Liu DW, Xue HX, et al.CT findings of parotid gland in Sjogren's syndrome[J]. Journal of China Clinic Medical Imaging, 2015, 26(5): 317-320.
[10] Sun Z, Zhang Z, Fu K, et al.Diagnostic accuracy of parotid CT for identifying Sjogren's syndrome[J]. Eur J Radiol, 2012, 81(10): 2702-2709.
[11] 俞光岩,马大权. 唾液腺病学[M]. 第2版. 北京: 人民卫生出版社, 2014: 408.
Yu GY, Ma DQ.Salivary gland disease[M]. 2nd Ed. Beijing: People's Medical Publishing House, 2014: 408.
[12] 陶谦, 黄韵. 腮腺慢性阻塞性疾病的再认识[J]. 口腔疾病防治, 2021, 29(9): 577-583.
Tao Q, Huang Y.Re-cognition of chronic obstructive diseases of the parotid gland[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(9): 577-583.
[13] 孙旭, 李向军, 张旭东, 等. 腮腺造影锥形束CT检查在慢性腮腺炎诊断中的应用[J]. 实用口腔医学杂志, 2017, 33(6): 778-782.
Sun X, Li XJ, Zhang XD, et al.Clinical application of cone beam CT sialography in the diagnosis of chronic parotitis[J]. Journal of Practical Stomatology, 2017, 33(6): 778-782.
[14] Cheng PC, Chang CM, Huang CC, et al.The diagnostic performance of ultrasonography and computerized tomography in differentiating superficial from deep lobe parotid tumours[J]. Clin Otolaryngol, 2019, 44(3): 286-292.
[15] Conn IG, Wiesenfeld D, Ferguson MM.The anatomy of the facial nerve in relation to CT/sialography of the parotid gland[J]. Br J Radiol, 1983, 56(672): 901-905.
[16] Imaizumi A, Kuribayashi A, Okochi K, et al.Differentiation between superficial and deep lobe parotid tumors by magnetic resonance imaging: usefulness of the parotid duct criterion[J]. Acta Radiol, 2009, 50(7): 806-811.
[17] 俞光岩, 邹兆菊. 腮腺造影对肿瘤的诊断价值[J]. 中华口腔医学杂志, 1989, 24(1): 40-42.
Yu GY, Zou ZJ.The value of parotid gland angiography in the diagnosis of tumor[J]. Chinese Journal of Stomatology, 1989, 24(1): 40-42.