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Management von Speicheldrüsenerkrankungen mittels Kontrastmittelapplikation

Management of salivary gland diseases with contrast-enhanced ultrasound

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Zusammenfassung

Obstruktive Erkrankungen der Speicheldrüse sind ein häufiges Problem in der Hals-, Nasen- und Ohrenheilkunde. Die Sialolithiasis ist in ca. 60% der Fälle ursächlich, gefolgt von Gangstenosen und selteneren Ursachen. Trotz einer Vielzahl diagnostischer Möglichkeiten bleibt bei 5–10% der Patienten die Ursache unklar. Die Ultraschalluntersuchung mit intraduktal appliziertem Kontrastmittel (IA-CEUS, „contrast-enhanced ultrasound“) stellt eine nebenwirkungsarme, kostengünstige und schnell durchzuführende Methode dar, um konventionelle Untersuchungstechniken zu ergänzen und obstruktive Speicheldrüsenerkrankungen besser klassifizieren und behandeln zu können.

Abstract

Obstructive diseases of the salivary glands are a common problem in otorhinolaryngology. They are mostly due to sialolithiasis followed by duct stenosis and other rarer causes. Several diagnostic modalities exist which allow classification of the disease; however, in 5–10% of all cases ultrasound and conventional radiological imaging do not provide a clear diagnosis. Ultrasound examination with contrast material injected into the duct (IA-CEUS, intraductal administered contrast-enhanced ultrasound) enables improved evaluation of obstructive diseases of the salivary glands and at the same time an evaluation of the parenchyma of the glands is possible. As a complementary method to conventional investigation techniques IA-CEUS is an economic and rapid method with low side-effects which improves the diagnostic assessment of ultrasound and results in a better treatment for patients.

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Authors and Affiliations

  1. Klinik für Hals-, Nasen- und Ohrenheilkunde, Klinikum der Ludwig-Maximilians-Universität, Campus Großhadern, Marchioninistr. 15, 81377, München, Deutschland

    P. Zengel, F. Schrötzlmair & M. Kramer

  2. Institut für Klinische Radiologie, Klinikum der Ludwig-Maximilians-Universität, Campus Großhadern, München, Deutschland

    P. Paprottka & D.-A. Clevert

Authors
  1. P. Zengel
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  2. F. Schrötzlmair
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  3. M. Kramer
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  4. P. Paprottka
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  5. D.-A. Clevert
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Correspondence to P. Zengel.

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Zengel, P., Schrötzlmair, F., Kramer, M. et al. Management von Speicheldrüsenerkrankungen mittels Kontrastmittelapplikation. Radiologe 51, 490–496 (2011). https://doi.org/10.1007/s00117-010-2104-8

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  • DOI: https://doi.org/10.1007/s00117-010-2104-8

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