Sialographic analysis of parotid ductal abnormalities associated with Sjogren's syndrome.
Sjogren's syndrome
parotid gland
sialography
Journal
Oral diseases
ISSN: 1601-0825
Titre abrégé: Oral Dis
Pays: Denmark
ID NLM: 9508565
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
09
12
2019
revised:
30
01
2020
accepted:
01
02
2020
pubmed:
8
2
2020
medline:
29
10
2020
entrez:
8
2
2020
Statut:
ppublish
Résumé
To analyze the location and degree of parotid ductal abnormalities associated with Sjogren's syndrome (SS) and to correlate findings with the duration of the disease. To develop a classification system based on contemporary sialography techniques and employ the system to grade findings on sialograms. To assess the role for therapeutic intervention in patients with SS. Retrospective chart review of a consecutive series of 337 sialograms done by the senior investigator over a 10-year period identified 26 sialograms in patients who met the criteria for SS as defined by the American-European Consensus Group (2002). A classification system was developed to grade the degree of ductal abnormalities identified on the sialograms. Individual, initial blinded review of these sialograms was performed by two head and neck radiologists to identify and grade abnormalities. Radiographic findings were correlated with patient history including symptom duration. All patients with SS had stenoses within the ductal system. About 73.1% of patients had stenoses in each branch of the ductal system (primary, secondary, and tertiary ducts). In 19% of patients, the main duct was of normal caliber despite the presence of stenosis in the more proximal ducts (secondary and tertiary ducts). Peripheral (proximal) duct dilation was characterized among those affected in patterns classified as destructive (34.6%), cavitary (26.9%), globular (11.5%), or punctate (11.5%). A statistically significant positive correlation (p = .0360) was identified between symptom duration and degree of main ductal stenosis. Sialography may be useful to objectively assess the degree of parotid ductal damage in SS employing a newly proposed classification system. This assessment may assist clinicians in tailoring management to selectively include ductal dilation.
Types de publication
Journal Article
Langues
eng
Pagination
912-919Subventions
Organisme : Institutional National Research Award (T32)
ID : 5T32DC000040
Informations de copyright
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. All rights reserved.
Références
Aframian, D. J., Keshet, N., & Nadler, C. (2018). Cone beam computerized tomography sialography-An emerging novel diagnostic tool for Sjogren's syndrome. Oral Diseases, 24(1-2), 191-193. https://doi.org/10.1111/odi.12736
Baldini, C., Zabotti, A., Filipovic, N., Vukicevic, A., Luciano, N., Ferro, F., … De Vita, S. (2018). Imaging in primary Sjogren's syndrome: The 'obsolete and the new'. Clinical and Experimental Rheumatology, 36 Suppl 112(3), 215-221.
Blair, G. S. (1973). Hydrostatic sialography. An analysis of a technique. Oral Surgery, Oral Medicine, Oral Pathology, 36(1), 116-130. https://doi.org/10.1016/0030-4220(73)90273-9
Blatt, I. M., French, A. J., Holt, J. F., Maxwell, J. H., & Rubin, P. (1956). Secretory sialography in diseases of the major salivary glands. The Annals of Otology, Rhinology, and Laryngology, 65(2), 295-317. https://doi.org/10.1177/000348945606500201
Chen, X., Wu, H., & Wei, W. (2018). Advances in the diagnosis and treatment of Sjogren's syndrome. Clinical Rheumatology, 37(7), 1743-1749. https://doi.org/10.1007/s10067-018-4153-8
Diggelmann, H. R., & Hoffman, H. T. (2015). Intraductal infusion of steroids in patients with Sjogren syndrome to treat painful salivary swelling: Report of 2 cases. Ear, Nose, and Throat Journal, 94(6), 238-239. https://doi.org/10.1177/014556131509400611
Heverhagen, J. T., Kalinowski, M., Rehberg, E., Klose, K. J., & Wagner, H. J. (2000). Prospective comparison of magnetic resonance sialography and digital subtraction sialography. Journal of Magnetic Resonance Imaging, 11(5), 518-524. https://doi.org/10.1002/(sici)1522-2586(200005)11:5<518:aid-jmri7>3.0.co;2-5
Huston, M., Collard, B., & Blanco-Guzman, M. (2015). Sialography-more than an image. Clinical Otolaryngology, 40(6), 740-741. https://doi.org/10.1111/coa.12512
Kalinowski, M., Heverhagen, J. T., Rehberg, E., Klose, K. J., & Wagner, H. J. (2002). Comparative study of MR sialography and digital subtraction sialography for benign salivary gland disorders. AJNR. American Journal of Neuroradiology, 23(9), 1485-1492.
Kalk, W. W., Vissink, A., Spijkervet, F. K., Bootsma, H., Kallenberg, C. G., & Roodenburg, J. L. (2002). Parotid sialography for diagnosing Sjogren syndrome. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics, 94(1), 131-137.
Koch, M., & Iro, H. (2017). Extended and treatment-oriented classification of parotid duct stenosis. The Laryngoscope, 127(2), 366-371. https://doi.org/10.1002/lary.26079
Koch, M., Kunzel, J., Iro, H., Psychogios, G., & Zenk, J. (2014). Long-term results and subjective outcome after gland-preserving treatment in parotid duct stenosis. The Laryngoscope, 124(8), 1813-1818. https://doi.org/10.1002/lary.24534
Lee, C., Kim, J. E., Huh, K. H., Yi, W. J., Heo, M. S., Lee, S. S., & Choi, S. C. (2017). Therapeutic effect of intraductal irrigation of the salivary gland: A technical report. Imaging Science in Dentistry, 47(2), 123-127. https://doi.org/10.5624/isd.2017.47.2.123
Marchal, F., Chossegros, C., Faure, F., Delas, B., Bizeau, A., Mortensen, B., … Barki, G. (2008). Salivary stones and stenosis. A comprehensive classification. Revue De Stomatologie Et De Chirurgie Maxillo-Faciale, 109(4), 233-236. https://doi.org/10.1016/j.stomax.2008.07.004
Obinata, K., Sato, T., Ohmori, K., Shindo, M., & Nakamura, M. (2010). A comparison of diagnostic tools for Sjogren syndrome, with emphasis on sialography, histopathology, and ultrasonography. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics, 109(1), 129-134. https://doi.org/10.1016/j.tripleo.2009.08.033
Ren, Y. D., Li, X. R., Zhang, J., Long, L. L., Li, W. X., & Han, Y. Q. (2015). Conventional MRI techniques combined with MR sialography on T2-3D-DRIVE in Sjogren syndrome. International Journal of Clinical and Experimental Medicine, 8(3), 3974-3982.
Sobrino-Guijarro, B., Cascarini, L., & Lingam, R. K. (2013). Advances in imaging of obstructed salivary glands can improve diagnostic outcomes. Oral and Maxillofacial Surgery, 17(1), 11-19. https://doi.org/10.1007/s10006-012-0327-8
Tonami, H., Ogawa, Y., Matoba, M., Kuginuki, Y., Yokota, H., Higashi, K., … Sugai, S. (1998). MR sialography in patients with Sjogren syndrome. AJNR American Journal of Neuroradiology, 19(7), 1199-1203.
Truong, K., Hoffman, H. T., Policeni, B., & Maley, J. (2018). Radiocontrast dye extravasation during sialography. The Annals of Otology, Rhinology, and Laryngology, 127(3), 192-199. https://doi.org/10.1177/0003489417752711
Vitali, C., Bombardieri, S., Jonsson, R., Moutsopoulos, H. M., Alexander, E. L., & Carsons, S. E., … European Study Group on Classification Criteria for Sjogren's, S (2002). Classification criteria for Sjogren's syndrome: A revised version of the European criteria proposed by the American-European Consensus Group. Annals of the Rheumatic Diseases, 61(6), 554-558. https://doi.org/10.1136/ard.61.6.554
Vivino, F. B. (2017). Sjogren's syndrome: Clinical aspects. Clinical Immunology, 182, 48-54. https://doi.org/10.1016/j.clim.2017.04.005
Zhang, Y. Q., Ye, X., Meng, Y., Zhao, Y. N., Liu, D. G., & Yu, G. Y. (2019). Evaluation of parotid gland function before and after endoscopy-assisted stone removal. Journal of Oral and Maxillofacial Surgery, 77(2), 328.e1. https://doi.org/10.1016/j.joms.2018.09.034
Zou, Z. J., Wang, S. L., Zhu, J. R., Wu, Q. G., & Yu, S. F. (1992). Chronic obstructive parotitis. Report of ninety-two cases. Oral Surgery, Oral Medicine, Oral Pathology, 73(4), 434-440. https://doi.org/10.1016/0030-4220(92)90320-p