Kroll Tobias, May Andreas, Wittekindt Claus, Kähling Christopher, Sharma Shachi Jenny, Howaldt Hans-Peter, Klussmann Jens Peter, Streckbein Philipp
Department of Otorhinolaryngology, University Hospital Gießen, Justus Liebig University, Klinikstraße 33, Giessen, 35392, Germany.
Department of Cranio-Maxillo-Facial Surgery, University Hospital Gießen, Justus Liebig University, Klinikstraße 33, Giessen, 35392, Germany.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Dec;120(6):771-5. doi: 10.1016/j.oooo.2015.09.005. Epub 2015 Sep 14.
Cone beam computed tomography (CBCT) sialography could help improve the visualization of the ductal system of salivary glands. The aim of this retrospective investigation was to monitor the use of CBCT sialography for the diagnosis of pathologies within the intraglandular ductal system when ultrasonography was inconclusive.
Fourteen consecutive patients suffering from recurrent swelling of a major salivary gland were evaluated. In 12 patients (8 female; 4 male; average age 46 years), a radiopaque contrast agent could be injected into the ductal system, followed by a routine CBCT. Four blinded examiners evaluated the acquired data sets retrospectively.
CBCT revealed seven stenosis, two salivary stones, one complete duct atresia, one intraglandular duct ectasia, and one regular duct system. Three of the detected pathologies were strictly intraglandular.
CBCT sialography shows promise as a supplementary noninvasive diagnostic tool for the visualization of the intraglandular ductal system of the major human salivary glands. Controlled studies to further validate this method should be undertaken.
锥形束计算机断层扫描（CBCT）涎管造影有助于提高唾液腺导管系统的可视化程度。这项回顾性研究的目的是，在超声检查结果不明确时，监测CBCT涎管造影在诊断腺体内导管系统病变中的应用。
对14例患有主要唾液腺反复肿胀的连续患者进行了评估。在12例患者（8名女性；4名男性；平均年龄46岁）中，将不透射线的造影剂注入导管系统，随后进行常规CBCT检查。4名不知情的检查人员对获取的数据集进行了回顾性评估。
CBCT显示7处狭窄、2处涎石、1处导管完全闭锁、1处腺体内导管扩张和1处正常导管系统。检测到的病变中有3处严格位于腺体内。
CBCT涎管造影作为一种辅助性非侵入性诊断工具，在显示人类主要唾液腺腺体内导管系统方面显示出前景。应开展对照研究以进一步验证该方法。
