Pneumoparotid: Practical impact of Surgeon performed Ultrasound in an effective Diagnostic Approach.
diagnostics
parotid gland
pneumoparotid
ultrasound
Journal
Oral diseases
ISSN: 1601-0825
Titre abrégé: Oral Dis
Pays: Denmark
ID NLM: 9508565
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
revised:
12
05
2022
received:
02
12
2021
accepted:
10
06
2022
medline:
7
12
2023
pubmed:
26
6
2022
entrez:
25
6
2022
Statut:
ppublish
Résumé
Pneumoparotid is characterized by air inclusions in the parotid duct system. Use of ultrasound has proved valuable for evaluating air inclusions in various parts of the body; the diagnostics of this condition has not been systematically analyzed, however. The aim of this study was to evaluate the value of ultrasound in the detection of air inclusions along the parotid duct system and its closer characterization. Retrospective analysis was carried out of patients diagnosed with pneumoparotid between 2005 and 2020 in a salivary gland center. Ultrasound was performed in all cases, and features of air inclusions were described. Reference standard was the clinical demonstration of foamy saliva after gland massage and/or sialendoscopic evidence of intraductal air inclusions. Twenty-one patients were identified (48.8 ± 3.8 years). Two were associated with wind instruments; seven were iatrogenic, following treatment for duct stenosis; one after radiotherapy; four with known bruxism and seven were idiopathic and without associated conditions. On ultrasound examination, pneumoparotid was characterized by three phenomena: flattened, mobile hyperechoic reflexes, dirty shadows with reverberation or "sunbeam effect," and shifting shadows during gland massage. Ultrasound was useful for characterizing pneumoparotid in a fast and practical way and could serve as imaging tool of first choice.
Types de publication
Journal Article
Langues
eng
Pagination
3278-3288Informations de copyright
© 2022 The Authors. Oral Diseases published by Wiley Periodicals LLC.
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