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AP 2 - Book

Lecture 5 Objectives - Sialogram

QuestionAnswer
Purpose of Saliva? Lubricates the Oral Cavity and mixes with food to form a bolus for easier swallowing
Enzyme that initiates digestion of Carbohydrates Ptyalin
Largest Salivary Gland, located Inferior and anterior to the external ear, saliva drains via the Stenson's Duct? Parotid Glands
Salivary Gland located on the floor of the mouth, medial to the Angle of Mandible; saliva drains via the Wharton's Duct? Submandibular Glands
Salivary Gland located on the floor of the mouth in the Sublingual space lateral to the tongue; saliva drains via the Bartholin's Duct Sublingual Glands
Buildup of crystallized saliva deposits - block the flow of saliva causing pain and swelling? Salivary Stones or Sialoliths
Bacteria infection of the Salivary Gland Sialadenitis
Mumps, flu, and others that can cause swelling of the Parotid Glands? Viral infection
Occurs most commonly in the Parotid Glands - Pleomorphic Adenoids (benign mixed tumors) are most common, comprising 85% of all Salivary Gland Neoplasms Benign Tumors
More than half of the tumors found in the Submandibular and Sublingual Glands; Core biopsy diagnosis of tumor Malignant tumors
Radiographic and Fluoroscopic examination of the Salivary glands and ducts with the use of contrast media Sialography
Clinical indications for performing a Sialogram: 1. 2. 3. 4. 5. 1. Locate Diverticula, stricture, and/or stones within the Salivary duct 2. Presence of a Salivary Duct Fistula 3. Inflammatory lesion or tumor within Salivary gland or associated duct 4. Benign gland obstruction 5. Diagnosis needed - CT & MR imaging
Contrast used? Water-soluble Iodinated contrast media
Route contrast media is administered? Injected into the duct in question through a small catheter after the duct has been localized
Articles necessary when performing a Sialogram (10): Sialogram Tray → Dilator Probe → Goose Neck Lamp → Magnifying Headset → 6-10 CC Syringe → Emesis Basin → Paper tape → Tongue Depressor → Sterile Gloves → Lemons
How to prepare Sialogram Tray and Radiographic Equipment when performing a Sialogram? Place Sialogram Tray on side table → Have additonal supplies available as needed (linens, emesis basin, kleenex) → 10x12 IRs available outside fluoro room for Overheads per Radiologist request
Popular Radiology sets

 

 



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