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SIALOGRAPHY (INDICATIONS (stricture, pain / swelling, mass/ tumor,…
SIALOGRAPHY
INDICATIONS
stricture
pain / swelling
mass/ tumor
infections
secondary changes to trauma
stones / calcifications
when plain radiographs are inconclusive
IMAGING OF SALIVARY GLANDS
CT scan
radionuclide imaging
MRI
plain radiograph
sialography
PROCUDURE
PRELIMINARY RADIOGRAPHS
SECRETORY STIMULANT (LEMON WEDGE)
TO OPEN DUCTS
TO EVACUATE CONTRAST
CANNULATED DUCTS
CONTRAST (240mg/ml)
injected manually
5 minutes delay radiographs
DEFINITION
SUBMANDIBULAR
CONTROL FILMS
OCCLUSAL 1
OCCLUSAL 2
LATERAL
ANATOMY
WHARTSONS DUCTS
5CM LONG
ON SIDE OF FRENULUM
PAROTID
ANATOMY
CONTROL FILMS
LATERAL
LATERAL OBLIQUE
PA
SIALOGRAPHY
LATERAL
LATERAL OBLIQUE
PA
SUBLINGUAL
ANATOMY
HAS DUCTS OF RIVINUS
DUCTS OF BATHOLIN
SMALLEST PAIR
CONTRAINDICATIONS
INFLAMMATION OF SALIVARY DUCTS
ALLERGIES