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Sonography of Major Salivary Glands

  • Andreas Knopf
Chapter

Abstract

Major salivary glands represent a melting pot of inflammatory, neoplastic, and dysontogenetic diseases. Diagnostic approaches are of major clinical impact to achieve both sufficient radicality of epithelial malignancy and a minimum of functional loss in benign lesions. Whereas B-mode ultrasound demonstrates high sensitivity and specificity in the identification of sialolithiasis, B-mode ultrasound and color-coded duplex sonography fail to reliably distinguish inflammatory and neoplastic conditions. Recent advances in elastography increased precision of diagnostic regimens in inflammatory conditions but require great personal expertise. Modern diagnostic algorithms including elastography and contrast-enhanced ultrasound result in significantly higher precision in the identification of glandular malignancy. However, complex algorithms are not part of the daily ultrasonographic routine, and detailed anamnesis and clinical examination remain mandatory in these cases.

Keywords

Sialadenitis Sjögren’s syndrome Sialolithiasis Salivary gland tumor Pleomorphic adenoma Warthin’s tumor Salivary gland carcinoma Parotid gland metastasis 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Andreas Knopf
    • 1
  1. 1.Department of Otorhinolaryngology–Head and Neck SurgeryUniversity of FreiburgFreiburgGermany

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