ROLE OF CT SIALOGRAM IN THE DIAGNOSIS OF PAROTID REGION SWELLINGS
Rafik Khalil, M., Moussa, M., Sakr, M., Hamza, Y., A. El-Hammady, H., A. Farahat, A. (2002). ROLE OF CT SIALOGRAM IN THE DIAGNOSIS OF PAROTID REGION SWELLINGS. EKB Journal Management System, 21(4), 1097-1102. doi: 10.21608/ejsur.2002.375151
Mohamed Rafik Khalil; Mohamed Moussa; Mahmoud Sakr; Yasser Hamza; Habashi A. El-Hammady; Ali A. Farahat. "ROLE OF CT SIALOGRAM IN THE DIAGNOSIS OF PAROTID REGION SWELLINGS". EKB Journal Management System, 21, 4, 2002, 1097-1102. doi: 10.21608/ejsur.2002.375151
Rafik Khalil, M., Moussa, M., Sakr, M., Hamza, Y., A. El-Hammady, H., A. Farahat, A. (2002). 'ROLE OF CT SIALOGRAM IN THE DIAGNOSIS OF PAROTID REGION SWELLINGS', EKB Journal Management System, 21(4), pp. 1097-1102. doi: 10.21608/ejsur.2002.375151
Rafik Khalil, M., Moussa, M., Sakr, M., Hamza, Y., A. El-Hammady, H., A. Farahat, A. ROLE OF CT SIALOGRAM IN THE DIAGNOSIS OF PAROTID REGION SWELLINGS. EKB Journal Management System, 2002; 21(4): 1097-1102. doi: 10.21608/ejsur.2002.375151

ROLE OF CT SIALOGRAM IN THE DIAGNOSIS OF PAROTID REGION SWELLINGS

The Egyptian Journal of Surgery
Volume 21, Issue 4, October 2002, Pages 1097-1102    PDF (413.24 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2002.375151
Authors
Mohamed Rafik Khalil* 1; Mohamed Moussa2; Mahmoud Sakr2; Yasser Hamza2; Habashi A. El-Hammady2; Ali A. Farahat3
1Departments of Surgery, Faculty of Medicine,University of Alexandria, Egypt
2Departments of Surgery, Faculty of Medicine, University of Alexandria, Egypt
3Radiology, Faculty of Medicine, University of Alexandria, Egypt
Abstract
Background: Parotid diseases are treated either by surgery or by conservative measures. Parotid surgery however 
carries the risk of facial nerve injury, which results in permanent functional and esthetic deficit. Therefore, every effort should be made to avoid unnecessary parotid operations. 
Objectives: The present study was conducted to evaluate the use of CT and CT sialography for patients with lesions in the parotid region. 
Patients and Methods: Patients (N=30) were subjected to thorough clinical assessment, ultrasonographic examination, 
computerized tomography (CT) of the parotid region, parotid CT sialography, and fine needle aspiration cytology (FNAC). 
Excised specimens were then sent for histopathological examination. 
Results: There were 17 males and 13 females. Their ages ranged from 3 to 60 years (mean 35.95± 14.13). Ten patients had regional lymphadenopathy, with associated facial nerve affection in two. CT diagnosed the nine lesions of extra-parotid origin and the nine patients with chronic sialectasis. It could identify the mass lesion in the remaining patients. It also suspected the malignant nature of the lesion in two patients (sensitivity 100%). CT sialogram was tried in all patients, but was successfully performed in only 20. It demonstrated normal, yet compressed duct system in the nine patients with benign tumours. It also showed displacement and distortion of the duct system in the one case of adenocarcinoma (sensitivity 57.14%, specificity 100%). 
Conclusions: Computerized tomography is a valuable and effective technique in confirming or excluding parotid gland mass lesions, as well as extra-parotid masses. It can suspect the malignant nature of the mass. CT sialography was found to be difficult technique to apply. In this study, it did not offer additional benefit over CT in the diagnosis of parotid masses.
Keywords
Parotid gland; computerized tomography; Sialography; CT-sialography
Statistics
Article View: 60
PDF Download: 31