Diagnosis of salivary gland disorders
Historically, disorders of salivary glands tend to be 'underdiagnosed and overtreated'. In the vast body of literature on this subject, emphasis has usually been put on therapeutic modalities of various diseases of the salivary glands. Whereas therapy and
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Diagnosis of salivary gland disorders edited by
K. GRAAMANS Department of oJ Otorhinolaryngology, Vniversity University Hospital Vtrecht, Ulrecht, Utrecht, The Netherlands and
H.P. VAN DEN AKKER Department of oJ Oral and Maxillofacial MaxilloJacial Surgery, Academic Medical Centre and Academic Centre Jor for Dentistry (ACTA), Vniversity University of oJ Amsterdam, Amsterdam, The Netherlands
Springer Science+Business Media, B.V.
Library of Congress Cataloging in Publication Data DIagnosis of sallvary gland disorders van den Akker. p. cm. Includes Index.
I
edlted by K. Graamans and H.P.
ISBN 978-94-010-5600-7 ISBN 978-94-011-3608-2 (eBook) DOI 10.1007/978-94-011-3608-2
1. Sallvary glands--Dlseases--Dlagnosls. I. Graamans, K. 11. Akker, H. P. van den, [DNLM: 1. Sal1vary Gland Dlseases--dlagnosis. WI 230 05361 RC815.052 1991 616.3' 16075--dc20 ONLM/OLC 91-20854 for Llbrary of Congress ISBN 978-94-010-5600-7
Cover illustrationfrom: Oesterreichers anatomische Steinstiche, nach Santorini. München, 1829. Courtesy Department of Functional Anatomy, Utrecht University, Utrecht, The Netherlands (head: B. Rillen).
Printed on acid-free paper
All Rights Reserved
© 1991 by Springer Science+Business Media Dordrecht Originally published by Kluwer Academic Publishers in 1991 Softcover reprint ofthe hardcover 1st edition 1991 No part of the material protected by this copyright notice may be reproduced or utilized in any form or by any means electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owners.
Contents
Preface
xi
List of contributors
Xlii
1. History and physical examination K. Graamans and H.P. van den Akker 1. 2. 3. 4.
Introduction History Physical examination Further considerations
1
1 1 2
3
2. Plain radiography and sialography H.P. van den Akker and P.F. Dijkstra 1. 2. 3. 4.
Introduction Plain radiography Sialolithiasis Inflammatory disorders 4.1. Acute sial adenitis and abscess formation 4.2. Chronic-recurrent sial adenitis 4.2.1. Sialectasia 4.3. Sjogren's syndrome 4.4. Granulomatous diseases 5. Sialadenosis 6. Tumors and space-occupying lesions 7. Miscellaneous disorders 8. Conclusion References v
5 5 5 11 13 14 14 17
18 20 21 23 23 24 24
VI
Contents
3. Computed tomography of the major salivary glands E.L. Mooyaart and K. Graamans 1. Introduction 2. CT versus CT-sialography of the parotid and submandibular gland 3. Technique 4. CT-sialography 5. CT anatomy 5.1. Parotid gland 5.2. Submandibular gland 5.3. Parotid gland masses 5.4. Submandibular gland masses 5.5. Benign versus malignant tumor 5.6. Relationship of tumors to the facial nerve 5.7. Inflammation 6. CT appearance of salivary gland tumors 6.1. Pleomorphic adenoma 6.2. Recurrent pleomorphic adenoma 6.3. Adenolymphoma 6.4. Other benign masses of the parotid gland 6.5. Malignant tumors References
4. Magnetic resonance imaging of the parotid gland N.J.M. Freling and K. Graamans 1. Introduction 2. Some remarks on MRI 2.1. Basic cha
