Three-dimensional cone-beam CT sialography in non tumor salivary pathologies: Procedure and results.

Three-dimensional cone-beam CT sialography in non tumor salivary pathologies: Procedure and results.

Dentomaxillofac Radiol. 2016 Sep 2;:20150431

Authors: Bertin H, Bonnet R, Delemazure AS, Mourrain-Langlois E, Mercier J, Corre P

Abstract
OBJECTIVE: Non-tumor salivary diseases are common. Imaging studies are essential for their diagnosis and before undergoing an endoscopic or surgical treatment. In this study we aimed at presenting our procedure and results obtained with three dimensional cone-beam CT (3D-CBCT) sialography for non-tumor salivary gland diseases.
METHODS: Patients with parotid or submandibular salivary symptoms were examined by 3D-CBCT sialography. They received an intraductal injection of 0.5mL of water-soluble contrast medium maintained in the gland, followed by the examination in a NewTom wide-field CBCT device. Images were processed with multiplanar and three-dimensional reconstructions.
RESULTS: A ductal exploration could be performed until the fourth divisions. The main lesions found were stones, stenosis, dilatations and "dead tree" appearance of the ductal system. No side effects of the catheterization or the iodin contrast was reported, nor tissue damages related to the contrast keeping technique.
CONCLUSION: 3D-CBCT sialography seems to represent a reliable non invasive diagnostic tool for the ductal salivary diseases. More studies are needed to assess the value of 3D-CBCT sialography compared to conventional imaging.

PMID: 27588734 [PubMed - as supplied by publisher]

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