Imaging Sci Dent.  2017 Jun;47(2):123-127. 10.5624/isd.2017.47.2.123.

Therapeutic effect of intraductal irrigation of the salivary gland: A technical report

• Lee C
• Kim JE
• Huh KH
• Yi WJ
• Heo MS
• Lee SS
• Choi SC

• KMID: 2389893
• DOI: http://doi.org/10.5624/isd.2017.47.2.123

Abstract

PURPOSE
Obstructive and inflammatory disease often occurs in the major salivary glands, and no predictive treatment has yet been developed for this condition. The aim of this report was to introduce an intraductal irrigation procedure and to illustrate its application to practical patient cases.
MATERIALS AND METHODS
Two patients complaining of pain and swelling in the parotid gland during meals who underwent sialography were diagnosed as having sialodochitis with sialadenitis. Intraductal irrigation was then performed on the parotid gland on the side of the complaint. The irrigation procedure was conducted in the same manner as the sialography procedure, except that saline was used as the filling solution. Symptom severity was evaluated with a numerical rating scale (NRS) at the initial visit and a month after the irrigation.
RESULTS
The initial NRS value of patient 1 was 10. The value decreased to 6 and then to 0 after 2 irrigation procedures. The NRS value of patient 2 regarding the symptoms involving the left parotid gland decreased from 4-5 to 1 after 4 irrigation procedures performed at 1-month intervals.
CONCLUSION
Intraductal irrigation of the salivary gland may be a simple, safe, and effective treatment option for patients with obstructive and inflammatory disease of the salivary gland that is capable of resolving their symptoms.

Keyword

Parotid Gland; Salivary Gland; Sialadenitis; Sialodochitis; Therapeutic Irrigation

MeSH Terms

Humans
Meals
Parotid Gland
Salivary Glands*
Sialadenitis
Sialography
Therapeutic Irrigation

Figure

• 

  Fig. 1 Instruments used for salivary duct and gland irrigation. From the right, a dental mirror, a periodontal probe, a scalp vein set connected to a 5-mL syringe, and a lacrimal probe (size: #0000 to #0).

• 

  Fig. 2 Sialography of both parotid glands of patient 1 shows sialodochitis with sialadenitis of both glands. A. The right Stensen duct and intraglandular ductule show local dilatation with constriction. B. The hilum of the left parotid gland is enlarged, and punctated acinar fillings are observed. Tiny filling defects in the main duct of both sides were observed and assumed to be microliths (arrowheads).

• 

  Fig. 3 Left parotid gland sialography of patient 2 shows sialodochitis with sialadenitis. The Stensen duct exhibits dilatation with local strictures showing sausage-string structures. The intraglandular ductules also show irregular dilatation.

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