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    Ultrasonographic features of recurrent parotitis in childhood
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    Imaging can be helpful when investigating salivary gland pain and swelling. Typically in such cases, an ultrasound (US) or conventional sialogram would be requested in seeking obstructed or dilated ducts, a ductal calculus or an abscess within the gland. Occasionally a CT scan is requested. MR is usually reserved for investigating clinically palpable masses in the glands. In acute non-obstructive parotitis, the differential diagnosis includes acute non-suppurative parotitis (as found in mumps), early Sjögren’s syndrome, or suppurative parotitis as seen following duct obstruction. Despite sometimes strong insistence on retrograde contrast sialography, this may exacerbate the pre-existing inflammatory process. The imaging of a young patient expands on these observations.
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    Imaging can be helpful when investigating salivary gland pain and swelling. Typically in such cases, an ultrasound (US) or conventional sialogram would be requested in seeking obstructed or dilated ducts, a ductal calculus or an abscess within the gland. Occasionally a computed tomography (CT) scan is requested. Magnetic resonance imaging (MRI) is usually reserved for investigating clinically palpable masses in the glands. In acute non-obstructive parotitis, the differential diagnosis includes acute non-suppurative parotitis (as found in mumps), early Sjogren's syndrome, or suppurative parotitis as seen following duct obstruction. Sometimes there is strong insistence on retrograde contrast sialography; however, this may exacerbate the pre-existing inflammatory process. The imaging of a young patient expands on these observations.
    Sialography
    Parotitis
    Salivary Gland Diseases
    Sialadenitis
    Citations (0)
    Objective: To evaluate value of ultrasonography and CT sialography in the diagnosis of Sjogren syndrome(SS).Methods: Ultrasonography and CT sialography detection were conducted on 56 cases of primary Sjogren syndrome confirmed by Labial Salivary Gland Biopsy and 32 normal healthy controls.Images revealed by the two methods were compared.Results: The sensitivity,specificity and accuracy of ultrasonography were 90%,91% and 80%respectively,while those of CT sialography were 81%,93% and 76% respectively showing no significant difference between the two methods(P0.05).Conclusions: As for diagnosis of Sjogren syndrome,ultrasonographymay can be used for screening up,and Labial Salivary Gland Biopsy should be applied for those without typical ultrasonography images.
    Sialography
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    In this study it has been valued the differences between T.C. and "scialography" in the parotid gland cystic lesions. Between 1986 and 1987 we examined 100 patients affected by parotid gland diseases utilizing the two different techniques. In 7 patients we diagnosed cystic lesions of parotid gland. Afterwards we compared the results obtained by T.C. and by scialography.
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    By performing CT scanning during contrast sialography, tumors within the parotid gland can be shown and their configuration in relation to the remaining normal salivary gland and surrounding structures can be appreciated. This permits better evaluation of the relationship of the tumor to the facial nerve, possible extension of tumor beyond the gland, and benign versus malignant growth characteristics.
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    To study the value of parotid sialography and intervention in the diagnosis and treatment of chronic pyogenic parotitis.Undertake the technique of parotid sialography with 48% Lipiodol ultra-fluide (France) under X-ray upon 78 patients who were given systemic anti-infections and supporting treatments only with non-obvious-results, and classify all the cases into chronic obstructive (21 cases) and nonobstructive parotitis (57 cases) according to the results of sialography through microcatheter, then go on with bacterial culture and drug sensitivity test. Filling treatments were carried out on obstructive parotitis cases through the duct with mixed liquor consisting of 2% lidocanine, 1% methylviolet. In the same way, alpha-chymotrypsin, amikacin, lidocaine was used in nonobstructive cases.The cure rate of chronic obstructive parotitis was 80.95%, the cure rate of chronic nonobstructive parotitis was 87.72%.The method of parotid sialography and intervention in the diagnosis and treatment of chronic pyogenic parotitis is an effective way to treat chronic pyogenic parotitis.
    Parotitis
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