Submandibular gland duct endoscopy: Diagnostic value for salivary duct disorders in comparison to conventional radiography, sialography, and ultrasonography

Kenji Yuasa, Eiji Nakhyama, Shigeo Ban, Toshiyuki Kawazu, Torn Chikui, Mayumi Shimizu, Shigenobu Kanda

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)

Abstract

The purpose of this study is to evaluate the usefulness of endoscopy as a procedure for the diagnosis of submandibular gland duct disorders. Endoscopy of the submandibular glands was performed on 12 patients with symptoms of obstructive sialoadenitis to identify the cause of obstruction. The endoscopic findings were then compared to those of diagnostic procedures such as conventional radiography, sialography, and ultrasonography. Six normal subjects also underwent endoscopy to better understand the normal findings of the duct system. Endoscopy demonstrated salivary gland calculus in 5 of 12 patients, which was revealed as filling defects on sialograms and as strongly echogenic structures on ultrasonograms in 4 of the patients. Endoscopy revealed secretion plugs, secretion plaques, and/or stenosis, which could not be seen by any other diagnostic procedures in 5 patients, as the cause of recurrent swelling in all 7 patients not demonstrating siaiolith. Abnormal findings of the duct wall such as vasodilatation, fibrosis, edema, or erythema were seen in four patients, three of whom exhibited dilatation of the duct system on sialograms. In four patients, a decreasing internal echo level of the gland was seen on ultrasonograms. Our initial results for submandibular gland duct endoscopy thus appear to be promising.

Original languageEnglish
Pages (from-to)578-581
Number of pages4
JournalOral surgery, oral medicine, oral pathology, oral radiology, and endodontics
Volume84
Issue number5
DOIs
Publication statusPublished - Jan 1 1997
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology
  • Dentistry(all)

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