Jung Hyun-Soo, Chang In-Seo, Kim Jae-Yeon, Song In-Seok, Hwang Bo-Yeon, Jun Sang-Ho
Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital, Seoul, Korea.
J Korean Assoc Oral Maxillofac Surg. 2025 Apr 30;51(2):117-122. doi: 10.5125/jkaoms.2025.51.2.117.
Chronic recurrent sialadenitis is characterized by repeated inflammation of the salivary glands, leading to ductal structural abnormalities and salivary stasis, often resulting in megaducts. This study evaluates the efficacy of ultrasonography as a diagnostic and follow-up tool for the management of chronic recurrent sialadenitis. Three patients underwent sialendoscopy, which involved ductal dilation, removal of mucous plugs, and steroid administration. Ultrasonography was used postoperatively to monitor changes in ductal structure, including megaduct size, and to assess clinical outcomes. All three cases showed marked improvement in clinical symptoms after treatment. Ultrasonography demonstrated a reduction in megaduct size and provided real-time visualization of ductal and glandular changes. Compared to traditional imaging methods such as magnetic resonance imaging or sialography, ultrasonography offered a practical and safe option for follow-up assessment. This study highlights the utility of ultrasonography as an accessible, non-invasive, and effective tool for evaluating treatment outcomes in chronic recurrent sialadenitis. By offering detailed visualization of ductal changes and facilitating longitudinal follow-up, ultrasonography can optimize the management of this condition.
慢性复发性涎腺炎的特征是涎腺反复发炎，导致导管结构异常和唾液淤滞，常形成巨导管。本研究评估超声检查作为慢性复发性涎腺炎管理的诊断和随访工具的有效性。三名患者接受了涎腺内镜检查，包括导管扩张、清除黏液栓子和给予类固醇。术后使用超声检查监测导管结构的变化，包括巨导管大小，并评估临床结果。所有三例患者治疗后临床症状均有明显改善。超声检查显示巨导管大小减小，并能实时观察导管和腺体的变化。与磁共振成像或涎管造影等传统成像方法相比，超声检查为随访评估提供了一种实用且安全的选择。本研究强调了超声检查作为一种可及、无创且有效的工具在评估慢性复发性涎腺炎治疗结果方面的实用性。通过提供导管变化的详细可视化并便于纵向随访，超声检查可优化对该疾病的管理。
