Sonographic analysis of recurrent parotitis in children: A comparative study with sialographic findings

Mayumi Shimizu, Jürgen Ußmüller, Karl Donath, Kazunori Yoshiura, Shigeo Ban, Shigenobu Kanda, Satoru Ozeki, Masanori Shinohara

Research output: Contribution to journalArticlepeer-review

32 Citations (Scopus)

Abstract

Objective. The sonographic features of recurrent parotitis in children were studied to clarify a relationship between sonographic and sialographic findings in this disease. Study design. Twenty-one glands (7 on follow-up) were examined by 7.5 MHz ultrasonography and sialography. Echo intensity level, distribution of the internal echoes, and size of hypoechoic areas were compared with the size of punctate shadows on the sialograms. Twenty other histopathologic specimens were analyzed to investigate the entity of hypoechoic areas. Results. Sonography showed hypoechoic, heterogeneous internal echoes, the level of which increased as the punctate shadows enlarged. Hypoechoic areas, all of which were larger than the sialographic punctate shadows, were observed in 62% of the glands. Histopathologic analysis suggests that these hypoechoic areas represent dilated peripheral ducts with lymphocytic infiltration. Sonography was likely to detect changes over time more sensitively than sialography. Conclusions. Sonography should be performed as the test of first choice, both in the primary and follow-up stages, in cases of recurrent parotitis in children.

Original languageEnglish
Pages (from-to)606-615
Number of pages10
JournalOral surgery, oral medicine, oral pathology, oral radiology, and endodontics
Volume86
Issue number5
DOIs
Publication statusPublished - Jan 1 1998

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology
  • Dentistry(all)

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