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Sausage String Appearance in Sialography

Sialography is a radiographic technique for visualizing salivary glands and their ducts using contrast media. It helps identify various conditions such as obstructions and infections but is invasive and carries risks. Indications include chronic swelling and suspected sialolithiasis, while contraindications include acute infections and allergies to contrast media.

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46 Udhaya Kumar
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60 views2 pages

Sausage String Appearance in Sialography

Sialography is a radiographic technique for visualizing salivary glands and their ducts using contrast media. It helps identify various conditions such as obstructions and infections but is invasive and carries risks. Indications include chronic swelling and suspected sialolithiasis, while contraindications include acute infections and allergies to contrast media.

Uploaded by

46 Udhaya Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Sialography

Definition

Sialography is a radiographic technique used to visualize the salivary glands (mainly the parotid and

submandibular glands) and their ductal systems by injecting a contrast medium into the duct, followed by

X-ray imaging.

Advantages

- Provides detailed visualization of the salivary duct system.

- Helps identify obstructions, strictures, infections, or tumors.

- Can differentiate between sialadenitis and Sjögren's syndrome.

- Useful for preoperative assessment.

Disadvantages

- Invasive and uncomfortable.

- Risk of ductal rupture or infection.

- Contraindicated in acute infections.

- Involves radiation exposure.

Indications

- Chronic or recurrent salivary gland swelling.

- Suspected sialolithiasis.

- Evaluation of ductal abnormalities.

- Investigation of xerostomia.

- Preoperative gland assessment.


Sialography

Contraindications

- Acute sialadenitis or infection.

- Allergy to contrast media.

- Complete ductal obstruction.

- Recent ductal surgery or trauma.

Types of Contrast Media

1. Fat-soluble (Oil-based) - e.g., Ethiodized oil (Lipiodol): Better ductal visualization, remains longer in the

gland.

2. Water-soluble - e.g., Meglumine diatrizoate, Sodium diatrizoate: Rapid absorption, fewer complications.

Phases in Sialography

1. Ductal (Injection) Phase - Contrast fills the ducts.

2. Parenchymal (Acinar) Phase - Contrast enters gland tissue.

3. Evacuation Phase - Saliva expels contrast; evaluates clearance.

Sialographic Appearance & Reason

- Sausage-string appearance - Alternating duct dilation and constriction (Chronic sialadenitis)

- Punctate or globular collections - Small opacities in gland (Sjögren's syndrome)

- Sialocele or cystic dilation - Localized pooling (Obstructed/ruptured duct)

- Filling defect - Contrast not filling duct (Stone or tumor)

- Pruned tree appearance - Lack of fine branches (Chronic damage)

- Snowstorm appearance - Diffuse punctate opacities (Lymphoepithelial lesions)

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