Sialolithiasis diagnostic study of choice: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
m (Bot: Removing from Primary care)
 
(19 intermediate revisions by 3 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Sialolithiasis}}
{{Sialolithiasis}}
{{CMG}}; {{AE}}
{{CMG}}; {{AE}}{{MA}} [mailto:malihash@bidmc.harvard.edu]
== Overview ==
== Overview ==
Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by [[computed tomography]], [[ultrasound]], magnetic resonance sialography, conventional [[sialography]]. [[High Resolution CT|High resolution computed tomography]] ([[High Resolution CT|HRCT]]) scanning is the study of choice for the diagnosis of sialolithisis.


== Diagnostic Study of Choice ==
== Diagnostic Study of Choice ==
 
Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by [[computed tomography]], [[ultrasound]], magnetic resonance sialography, conventional [[sialography]].
===== Template statements =====
Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by computed tomography, ultrasound, magnetic resonance sialography, conventional sialography.


=== Study of choice: ===
=== Study of choice: ===


===== Computed tomography =====
===== Computed tomography =====
*  High resolution noncontrast computed tomography (CT) scanning is the study of choice for the diagnosis of sialolithisis.<ref name="ElliesLaskawi1996">{{cite journal|last1=Ellies|first1=Maik|last2=Laskawi|first2=Rainer|last3=Arglebe|first3=Christian|last4=Schott|first4=Anngrit|title=Surgical management of nonneoplastic diseases of the submandibular gland|journal=International Journal of Oral and Maxillofacial Surgery|volume=25|issue=4|year=1996|pages=285–289|issn=09015027|doi=10.1016/S0901-5027(06)80058-5}}</ref>
*  [[High Resolution CT|High resolution computed tomography]] ([[High Resolution CT|HRCT]]) scanning is the study of choice for the diagnosis of sialolithiasis.<ref name="ElliesLaskawi1996">{{cite journal|last1=Ellies|first1=Maik|last2=Laskawi|first2=Rainer|last3=Arglebe|first3=Christian|last4=Schott|first4=Anngrit|title=Surgical management of nonneoplastic diseases of the submandibular gland|journal=International Journal of Oral and Maxillofacial Surgery|volume=25|issue=4|year=1996|pages=285–289|issn=09015027|doi=10.1016/S0901-5027(06)80058-5}}</ref>
** Most stones contain enough calcium, so they can be visible with noncontrast CT scan.
** Most stones contain enough [[calcium]], so they can be visible with non-contrast [[Computed tomography|CT scan]].
* The following results are seen in acute obstructive due to sialolithisis after administraion of contrast
 
* The following results are seen in acute obstructive due to sialolithiasis after administration of contrast:
** The gland may appear enlarged
** The gland may appear enlarged
** Hyperdensity of gland with stranding
** Hyperdensity of gland with stranding
* In chronic sialolithisis, fatty atrophy and reduction in salivary gland parenchymal volume may be seen.


==== The comparison table for diagnostic studies of choice for sialolithiasis<ref name="pmid28457224">{{cite journal |vauthors=Thomas WW, Douglas JE, Rassekh CH |title=Accuracy of Ultrasonography and Computed Tomography in the Evaluation of Patients Undergoing Sialendoscopy for Sialolithiasis |journal=Otolaryngol Head Neck Surg |volume=156 |issue=5 |pages=834–839 |year=2017 |pmid=28457224 |doi=10.1177/0194599817696308 |url=}}</ref> ====
* In chronic sialolithiasis, fatty atrophy and reduction in salivary gland parenchymal volume may be seen.
 
==== The comparison table for diagnostic studies of choice for sialolithiasis ====
The [[Sensitivity (tests)|sensitivity]] and [[Specificity (tests)|specificity]] of CT scan and [[ultrasonography]] in a patient with sialolitiasis is given below:<ref name="pmid28457224">{{cite journal |vauthors=Thomas WW, Douglas JE, Rassekh CH |title=Accuracy of Ultrasonography and Computed Tomography in the Evaluation of Patients Undergoing Sialendoscopy for Sialolithiasis |journal=Otolaryngol Head Neck Surg |volume=156 |issue=5 |pages=834–839 |year=2017 |pmid=28457224 |doi=10.1177/0194599817696308 |url=}}</ref>
{|
{|
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! style="background: #FFFFFF; color: #FFFFFF; text-align: center;" |
! style="background: #FFFFFF; color: #FFFFFF; text-align: center;" |Method
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Sensitivity
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Sensitivity
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity
|-
|-
! style="background: #696969; color: #FFFFFF; text-align: center;" |CT scan
! style="background: #696969; color: #FFFFFF; text-align: center;" |CT scan
| style="background: #DCDCDC; padding: 5px; text-align: center;" |% 98
| style="background: #DCDCDC; padding: 5px; text-align: center;" |98%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |% 88
| style="background: #DCDCDC; padding: 5px; text-align: center;" |88%
|-
|-
! style="background: #696969; color: #FFFFFF; text-align: center;" |Ultrasound
! style="background: #696969; color: #FFFFFF; text-align: center;" |Ultrasound
| style="background: #DCDCDC; padding: 5px; text-align: center;" |% 65
| style="background: #DCDCDC; padding: 5px; text-align: center;" |65%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |% 80
| style="background: #DCDCDC; padding: 5px; text-align: center;" |80%
|}
|}
<small> ✔= The best test based on the feature </small>
===== Diagnostic results =====
The following result of [investigation name] is confirmatory of [disease name]:
* Result 1
* Result 2
===== Sequence of Diagnostic Studies =====
The [name of investigation] should be performed when:
* The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
* A positive [test] is detected in the patient, to confirm the diagnosis.
=== Diagnostic Criteria ===
* Here you should describe the details of the diagnostic criteria.
*Always mention the name of the criteria/definition you are about to list (e.g. modified Duke criteria for the diagnosis of endocarditis / 3rd universal definition of MI) and cite the primary source of where this criteria/definition is found.
*Although not necessary, it is recommended that you include the criteria in a table. Make sure you always cite the source of the content and whether the table has been adapted from another source.
*Be very clear as to the number of criteria (or threshold) that needs to be met out of the total number of criteria.
*Distinguish criteria based on their nature (e.g. clinical criteria / pathological criteria/ imaging criteria) before discussing them in details.
*To view an example (endocarditis diagnostic criteria), click [[Endocarditis diagnosis|here]]
*If relevant, add additional information that might help the reader distinguish various criteria or the evolution of criteria (e.g. original criteria vs. modified criteria).
*You may also add information about the sensitivity and specificity of the criteria, the pre-test probability, and other figures that may help the reader understand how valuable the criteria are clinically.
* [Disease name] is mainly diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
* There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
* The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
* The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
* [Disease name] may be diagnosed at any time if one or more of the following criteria are met:
** Criteria 1
** Criteria 2
** Criteria 3
IF there are clear, established diagnostic criteria:
*The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
*The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
*The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
IF there are no established diagnostic criteria: 
*There are no established criteria for the diagnosis of [disease name].


==References==
==References==
Line 78: Line 41:
{{WH}}
{{WH}}
{{WS}}
{{WS}}
[Category:Medicine]]
​​
[[Category:Gastroenterology]]
[[Category:Up-To-Date]]

Latest revision as of 00:10, 30 July 2020

Sialolithiasis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Sialolithiasis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

Echocardiography or Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Sialolithiasis diagnostic study of choice On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Sialolithiasis diagnostic study of choice

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Sialolithiasis diagnostic study of choice

CDC on Sialolithiasis diagnostic study of choice

Sialolithiasis diagnostic study of choice in the news

Blogs on Sialolithiasis diagnostic study of choice

Directions to Hospitals Treating Sialolithiasis

Risk calculators and risk factors for Sialolithiasis diagnostic study of choice

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2] [3]

Overview

Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by computed tomography, ultrasound, magnetic resonance sialography, conventional sialography. High resolution computed tomography (HRCT) scanning is the study of choice for the diagnosis of sialolithisis.

Diagnostic Study of Choice

Sialolithiasis is mainly diagnosed by history and physical examination. Diagnosis can be confirmed by computed tomography, ultrasound, magnetic resonance sialography, conventional sialography.

Study of choice:

Computed tomography
  • The following results are seen in acute obstructive due to sialolithiasis after administration of contrast:
    • The gland may appear enlarged
    • Hyperdensity of gland with stranding
  • In chronic sialolithiasis, fatty atrophy and reduction in salivary gland parenchymal volume may be seen.

The comparison table for diagnostic studies of choice for sialolithiasis

The sensitivity and specificity of CT scan and ultrasonography in a patient with sialolitiasis is given below:[2]

Method Sensitivity Specificity
CT scan 98% 88%
Ultrasound 65% 80%

References

  1. ↑ Ellies, Maik; Laskawi, Rainer; Arglebe, Christian; Schott, Anngrit (1996). "Surgical management of nonneoplastic diseases of the submandibular gland". International Journal of Oral and Maxillofacial Surgery. 25 (4): 285–289. doi:10.1016/S0901-5027(06)80058-5. ISSN 0901-5027.
  2. ↑ Thomas WW, Douglas JE, Rassekh CH (2017). "Accuracy of Ultrasonography and Computed Tomography in the Evaluation of Patients Undergoing Sialendoscopy for Sialolithiasis". Otolaryngol Head Neck Surg. 156 (5): 834–839. doi:10.1177/0194599817696308. PMID 28457224.

Template:WH Template:WS [Category:Medicine]] ​​

Retrieved from "https://www.wikidoc.org/index.php?title=Sialolithiasis_diagnostic_study_of_choice&oldid=1643305"