Dynamic imaging with sialography combined with sialendoscopy to manage a foreign body in Stensen's duct.

Dynamic imaging with sialography combined with sialendoscopy to manage a foreign body in Stensen's duct.

Am J Otolaryngol. 2018 Mar 03;:

Authors: Blake Sullivan C, Hoffman H

Abstract
OBJECTIVE: We describe sialography as a dynamic imaging modality useful in establishing the diagnosis and planning for treatment of a parotid gland ductal foreign body.
METHODS: Chart and radiographic imaging review of a 75 year-old male who had obstructive sialadenitis symptoms two years after welding slag pierced the cheek skin and identified as a 'piece of steel stuck in his cheek'.
RESULTS: Sialography was used to demonstrate a foreign body adjacent to the parotid gland to indicate its presence as a mobile element within the ductal system associated with marked pre-obstructive duct dilation. Sialendoscopy was used to successfully remove the foreign body.
CONCLUSIONS: In selected cases, the management of obstructive sialadenitis can be improved with sialography in permitting dynamic imaging of salivary duct anatomy. Although ultrasound has evolved as a standard component of salivary gland assessment, sialography may complement imaging with ultrasound (or CT as in this case) to offer the highest acuity definition of the salivary ducts.

PMID: 29525141 [PubMed - as supplied by publisher]

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