Saturday, February 12, 2022

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Additional Considerations

As per Barsky and Silberman (1932)

  • "Movements of the cheek affect the duct, straightening its course or making it more irregular"
  • "A colored solution of some kind, such as 3.5 per cent iodine, is applied to the papilla, and the opening of the duct is disclosed"

Historical Perspective - perhaps identifying why some still consider the process of sialography to be 'invasive' (we do not consider it 'invasive'):

  • Use of cut-down for submandibular duct with identification of lingual nerve and mobilization of the duct for cannulation (Friedlander 1976)
  • Use of a series of horse-hairs to place (~4) to dilate the duct (mention also made of 4-0 nylon) 

References

Barsky AJ, Silberman H. Röntgen Visualization of the Parotid Gland by Means of Lipiodol Injection. Ann Surg. 1932 Jan;95(1):46-51. doi: 10.1097/00000658-193201000-00004. PMID: 17866716; PMCID: PMC1391546.

Friedlander AH: Cut-down sialography fo the submandibular gland. pp 555-556  J Oral Surgery Vol 34, June 1976 with comment p556 by Baurmash H DDS

Thomas AR: The Technique of Sialography p; 209-212 British Journ of Radiology  vol 29, Journal issue 340  April 1956