Sialolithiasis diagnostic study of choice: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Sialolithiasis}} | {{Sialolithiasis}} | ||
{{CMG}}; {{AE}} {{MA}} | {{CMG}}; {{AE}}{{MA}} [mailto:malihash@bidmc.harvard.edu] | ||
Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by computed tomography, ultrasound, magnetic resonance sialography, conventional sialography. High resolution noncontrast computed tomography (CT) scanning is the study of choice for the diagnosis of sialolithisis | == Overview == | ||
Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by [[computed tomography]], [[ultrasound]], magnetic resonance sialography, conventional [[sialography]]. High resolution noncontrast computed tomography (CT) scanning is the study of choice for the diagnosis of sialolithisis | |||
== Diagnostic Study of Choice == | == Diagnostic Study of Choice == | ||
Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by computed tomography, ultrasound, magnetic resonance sialography, conventional sialography. | Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by computed tomography, [[ultrasound]], magnetic resonance sialography, conventional [[sialography]]. | ||
=== Study of choice: === | === Study of choice: === | ||
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===== Computed tomography ===== | ===== Computed tomography ===== | ||
* High resolution noncontrast computed tomography (CT) scanning is the study of choice for the diagnosis of sialolithisis.<ref name="ElliesLaskawi1996">{{cite journal|last1=Ellies|first1=Maik|last2=Laskawi|first2=Rainer|last3=Arglebe|first3=Christian|last4=Schott|first4=Anngrit|title=Surgical management of nonneoplastic diseases of the submandibular gland|journal=International Journal of Oral and Maxillofacial Surgery|volume=25|issue=4|year=1996|pages=285–289|issn=09015027|doi=10.1016/S0901-5027(06)80058-5}}</ref> | * High resolution noncontrast computed tomography (CT) scanning is the study of choice for the diagnosis of sialolithisis.<ref name="ElliesLaskawi1996">{{cite journal|last1=Ellies|first1=Maik|last2=Laskawi|first2=Rainer|last3=Arglebe|first3=Christian|last4=Schott|first4=Anngrit|title=Surgical management of nonneoplastic diseases of the submandibular gland|journal=International Journal of Oral and Maxillofacial Surgery|volume=25|issue=4|year=1996|pages=285–289|issn=09015027|doi=10.1016/S0901-5027(06)80058-5}}</ref> | ||
** Most stones contain enough calcium, so they can be visible with noncontrast CT scan. | ** Most stones contain enough [[calcium]], so they can be visible with noncontrast [[Computed tomography|CT scan]]. | ||
* The following results are seen in acute obstructive due to sialolithiasis after administration of contrast: | * The following results are seen in acute obstructive due to sialolithiasis after administration of contrast: | ||
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==== The comparison table for diagnostic studies of choice for sialolithiasis ==== | ==== The comparison table for diagnostic studies of choice for sialolithiasis ==== | ||
The sensitivity and specificity of CT scan and ultrasonography in a patient with sialolitiasis is given below:<ref name="pmid28457224">{{cite journal |vauthors=Thomas WW, Douglas JE, Rassekh CH |title=Accuracy of Ultrasonography and Computed Tomography in the Evaluation of Patients Undergoing Sialendoscopy for Sialolithiasis |journal=Otolaryngol Head Neck Surg |volume=156 |issue=5 |pages=834–839 |year=2017 |pmid=28457224 |doi=10.1177/0194599817696308 |url=}}</ref> | The [[Sensitivity (tests)|sensitivity]] and [[Specificity (tests)|specificity]] of CT scan and ultrasonography in a patient with sialolitiasis is given below:<ref name="pmid28457224">{{cite journal |vauthors=Thomas WW, Douglas JE, Rassekh CH |title=Accuracy of Ultrasonography and Computed Tomography in the Evaluation of Patients Undergoing Sialendoscopy for Sialolithiasis |journal=Otolaryngol Head Neck Surg |volume=156 |issue=5 |pages=834–839 |year=2017 |pmid=28457224 |doi=10.1177/0194599817696308 |url=}}</ref> | ||
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[Category:Medicine]] | [Category:Medicine]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Up-To-Date]] | [[Category:Up-To-Date]] | ||
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[[Category:Primary care]] | [[Category:Primary care]] | ||
Revision as of 21:19, 5 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2] [3]
Overview
Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by computed tomography, ultrasound, magnetic resonance sialography, conventional sialography. High resolution noncontrast computed tomography (CT) scanning is the study of choice for the diagnosis of sialolithisis
Diagnostic Study of Choice
Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by computed tomography, ultrasound, magnetic resonance sialography, conventional sialography.
Study of choice:
Computed tomography
- High resolution noncontrast computed tomography (CT) scanning is the study of choice for the diagnosis of sialolithisis.[1]
- The following results are seen in acute obstructive due to sialolithiasis after administration of contrast:
- The gland may appear enlarged
- Hyperdensity of gland with stranding
- In chronic sialolithiasis, fatty atrophy and reduction in salivary gland parenchymal volume may be seen.
The comparison table for diagnostic studies of choice for sialolithiasis
The sensitivity and specificity of CT scan and ultrasonography in a patient with sialolitiasis is given below:[2]
| Sensitivity | Specificity | |
|---|---|---|
| CT scan | 98% | 88% |
| Ultrasound | 65% | 80% |
References
- ↑ Ellies, Maik; Laskawi, Rainer; Arglebe, Christian; Schott, Anngrit (1996). "Surgical management of nonneoplastic diseases of the submandibular gland". International Journal of Oral and Maxillofacial Surgery. 25 (4): 285–289. doi:10.1016/S0901-5027(06)80058-5. ISSN 0901-5027.
- ↑ Thomas WW, Douglas JE, Rassekh CH (2017). "Accuracy of Ultrasonography and Computed Tomography in the Evaluation of Patients Undergoing Sialendoscopy for Sialolithiasis". Otolaryngol Head Neck Surg. 156 (5): 834–839. doi:10.1177/0194599817696308. PMID 28457224.
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