Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Therapeutic effect of intraductal irrigation of the salivary gland: A technical report

  • Lee, Chena (Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry) ;
  • Kim, Jo-Eun (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Huh, Kyoung-Hoe (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Yi, Won-Jin (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Heo, Min-Suk (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Lee, Sam-Sun (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Choi, Soon-Chul (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University)
  • Received : 2017.03.14
  • Accepted : 2017.05.02
  • Published : 2017.06.30
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Abstract

Purpose: Obstructive and inflammatory disease often occurs in the major salivary glands, and no predictive treatment has yet been developed for this condition. The aim of this report was to introduce an intraductal irrigation procedure and to illustrate its application to practical patient cases. Materials and Methods: Two patients complaining of pain and swelling in the parotid gland during meals who underwent sialography were diagnosed as having sialodochitis with sialadenitis. Intraductal irrigation was then performed on the parotid gland on the side of the complaint. The irrigation procedure was conducted in the same manner as the sialography procedure, except that saline was used as the filling solution. Symptom severity was evaluated with a numerical rating scale (NRS) at the initial visit and a month after the irrigation. Results: The initial NRS value of patient 1 was 10. The value decreased to 6 and then to 0 after 2 irrigation procedures. The NRS value of patient 2 regarding the symptoms involving the left parotid gland decreased from 4-5 to 1 after 4 irrigation procedures performed at 1-month intervals. Conclusion: Intraductal irrigation of the salivary gland may be a simple, safe, and effective treatment option for patients with obstructive and inflammatory disease of the salivary gland that is capable of resolving their symptoms.

Keywords

References

  1. Epker BN. Obstructive and inflammatory diseases of the major salivary glands. Oral Surg Oral Med Oral Pathol 1972; 33: 2-27. https://doi.org/10.1016/0030-4220(72)90203-4
  2. Kim JH, Aoki EM, Cortes AR, Abdala-Junior R, Asaumi J, Arita ES. Comparison of the diagnostic performance of panoramic and occlusal radiographs in detecting submandibular sialoliths. Imaging Sci Dent 2016; 46: 87-92. https://doi.org/10.5624/isd.2016.46.2.87
  3. Abdel-Wahed N, Amer ME, Abo-Taleb NS. Assessment of the role of cone beam computed sialography in diagnosing salivary gland lesions. Imaging Sci Dent 2013; 43: 17-23. https://doi.org/10.5624/isd.2013.43.1.17
  4. Triantafyllou A, Harrison JD, Garrett JR. Analytical ultrastructural investigation of microliths in salivary glands of cat. Histochem J 1993; 25: 183-90. https://doi.org/10.1007/BF00163813
  5. Eisenbud L, Cranin N. The role of sialography in the diagnosis and therapy of chronic obstructive sialadenitis. Oral Surg Oral Med Oral Pathol 1963; 16: 1181-99. https://doi.org/10.1016/0030-4220(63)90339-6
  6. Bates D, O'Brien CJ, Tikaram K, Painter DM. Parotid and submandibular sialadenitis treated by salivary gland excision. Aust N Z J Surg 1998; 68: 120-4. https://doi.org/10.1111/j.1445-2197.1998.tb04720.x
  7. Hsu AK, Kutler DI. Indications, techniques and complications of major salivary gland extirpation. Oral Maxillofac Surg Clin North Am 2009; 21: 313-21. https://doi.org/10.1016/j.coms.2009.04.001
  8. Izumi M, Eguchi K, Nakamura H, Takagi Y, Kawabe Y, Nakamura T. Corticosteroid irrigation of parotid gland for treatment of xerostomia in patients with Sjogren's syndrome. Ann Rheum Dis 1998; 57: 464-9. https://doi.org/10.1136/ard.57.8.464
  9. Antoniades D, Harrison JD, Epivatianos A, Papanayotou P. Treatment of chronic sialadenitis by intraductal penicillin or saline. J Oral Maxillofac Surg 2004; 62: 431-4. https://doi.org/10.1016/j.joms.2003.07.007
  10. Pace CG, Hwang KG, Papadaki M, Troulis MJ. Interventional sialoendoscopy for treatment of obstructive sialadenitis. J Oral Maxiilofac Surg 2014; 72: 2157-66. https://doi.org/10.1016/j.joms.2014.06.438
  11. Drage NA, Brown JE, Wilson RF. Pain and swelling after sialography: is it a significant problem? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 385-8. https://doi.org/10.1067/moe.2000.108440
  12. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken) 2011; 63 Suppl 11: S240-52. https://doi.org/10.1002/acr.20543
  13. Buckenham TM, Page JE, Jeddy T. Technical report: interventional sialography - balloon dilatation of a Stensen's duct stricture using digital subtraction sialography. Clin Radiol 1992; 45: 34. https://doi.org/10.1016/S0009-9260(05)81465-5
  14. Choi JS, Lim JY, Kim YM. Sialendoscopy. Korean J Otorhinolaryngol-Head Neck Surg 2011; 54: 819-27. https://doi.org/10.3342/kjorl-hns.2011.54.12.819
  15. Walvekar RR, Razfar A, Carrau RL, Schaitkin B. Sialendoscopy and associated complications: a preliminary experience. Laryngoscope 2008; 118: 776-9. https://doi.org/10.1097/MLG.0b013e318165e355
  16. Nahlieli O, Baruchin AM. Long-term experience with endoscopic diagnosis and treatment of salivary gland inflammatory diseases. Laryngoscope 2000; 110: 988-93. https://doi.org/10.1097/00005537-200006000-00020

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