Sialolithiasis: Radiological Diagnosis and Treatment

Our Patient: MB

Patient MB (Cont.)

The Culprit: A Stone in Stensen’s Duct

Plan

Anatomy of the Salivary Glands

Cross Sectional Anatomy
Level: C1-C2

Sialolithiasis: Background and Epidemiology

Pathogenesis

Differential Diagnosis

Differential Diagnosis (cont.)

Complications

Patient MB: Imaging
CT neck without contrast

Patient MB: Imaging (cont.)
CT Neck w/ contrast

Patient MB: Imaging (cont.)
MRI neck with contrast

Menu of Diagnostic Imaging

Plain Film and CT

X-ray Sialography vs. MR Sialography

X-ray Sialography vs. MR Sialography

Ultrasonography

Nuclear Medicine

Plan

Patient #5: Stone in Stensen’s duct;
now you see it, now you don’t

Patient #5 (cont.)

Patient #6: 45 year-old woman with recurrent submandibular glandular swelling during mastication

Patient #7: 64 year-old man with abscess from sialolith

Treatment of Sialolithiasis

Treatment (cont.)

Shock Wave Lithotripsy

Interventional Radiology

Summary

References

Acknowledgements