구강악안면영역에서 초음파영상 진단

Clinical Usefulness of Ultrasonography in Oral and Maxillofacial Regions

  • 오송희 (경희대학교치과병원 영상치의학과) ;
  • 최용석 (경희대학교치과병원 영상치의학과)
  • Oh, Song Hee (Department of Oral and Maxillofacial Radiology, Kyung Hee University) ;
  • Choi, Yong-Suk (Department of Oral and Maxillofacial Radiology, Kyung Hee University)
  • 발행 : 2019.10.31

초록

Ultrasound sonography(US) is used to evaluate various diseases of maxillofacial region including salivary glands, soft tissue and jaw lesions because of easy accessibility and no hazard of ionizing radiation. Also, US can offer dynamic study showing real-time images during diagnostic or surgical procedure. US images provide accurate information about the internal features of lesions on the jaw prior to surgical treatment. Doppler images are used to visualize the vascular distribution of the lesions and to provide additional information to enhance diagnostic value. Nevertheless, the clinical application of US imaging is limited in the dental field. This is due to the lack of knowledge about the US image and the image characteristics of the anatomical structures. It is necessary to evaluate the diagnostic value of US and evaluate its usefulness by looking at clinical cases using US images. Therefore, US imaging may be recommended as an assistant image in evaluating jaw lesions. US images provided accurate information about the internal structure of lesions on the jaw prior to surgical treatment, and diagnostic value was enhanced by visualizing the vascular distribution of the lesion using doppler imaging.

키워드

참고문헌

  1. Poul JHK, Brown JE, Davies J. Retrospective study of the effectiveness of high-resolution ultrasound compared with sialography in the diagnosis of Sjogren's syndrome. Dentomaxillofac Radiology 2008; 37: 392-7. https://doi.org/10.1259/dmfr/50668408
  2. Burke CJ, Thomasa RH, Howlett D. Imaging the major salivary glands, Br J Oral Maxillofac Surg 2011; 49: 261-9. https://doi.org/10.1016/j.bjoms.2010.03.002
  3. Gritzmann N, Rettenbacher T, Hollerweger A, Macheiner P, Hubner E. Sonography of the salivary glands. Eur J Radiol 2003; 13 : 964-75. https://doi.org/10.1007/s00330-002-1586-9
  4. Howlett DC, High resolution ultrasound assessment of the parotid gland. Br J Radiol 2003; 76: 271-7. https://doi.org/10.1259/bjr/33081866
  5. Oh SH, Kang JH, Choi YJ, Kim BY, Lee SR, Lee SH, Choi YS, Hwang EH. Ultrasound-guided sialo-irrigation with a saline-air mixture as the contrast medium. Oral Radiol. 2019;35(1):84-89. doi: 10.1007/s11282-018-0331-2. Epub 2018 Apr 27.
  6. Parsons & Lense. Sonohysterography for endometrial abnormalities: preliminary results. J Clin Ultrasound 1993; 21: 87-95 https://doi.org/10.1002/jcu.1870210203
  7. Sladkevicius et al. B-flow ultrasound facilitates visualization of contrast medium during hysterosalpingo-contrast sonography. Ultrasound Obstet Gynecol 2014; 44: 221-7 https://doi.org/10.1002/uog.13290
  8. Koski et al. Use of air-steroid-saline mixture as contrast medium in greyscale ultrasound imaging: Experimental study and practical applications in rheumatology. Clinical and Experimental Rheumatology 2005; 23: 373-8.
  9. Zainedeen O, Al Haffar I, Kochaji N, Wassouf G. The efficacy of ultrasonography in monitoring the healing of jaw lesions. Imaging Sci Dent. 2018;48(3):153-160. doi: 10.5624/isd.2018.48.3.153. Epub 2018 Sep 18.
  10. Demirturk Kocasarac H, Angelopoulos C. Ultrasound in Dentistry: Toward a Future of Radiation-Free Imaging. Dent Clin North Am. 2018l;62(3):481-489. doi: 10.1016/j.cden.2018.03.007. Review.