Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Comparison of the diagnostic performance of panoramic and occlusal radiographs in detecting submandibular sialoliths

  • Received : 2015.12.23
  • Accepted : 2016.02.17
  • Published : 2016.06.30
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Abstract

Purpose: The aim of this study was to assess and compare the diagnostic performance of panoramic and occlusal radiographs in detecting submandibular sialoliths. Materials and Methods: A total of 40 patients (20 cases and 20 controls) were included in this retrospective study. Cases were defined as subjects with a submandibular sialolith confirmed by computed tomography (CT), whereas controls did not have any submandibular calcifications. Three observers with different expertise levels assessed panoramic and occlusal radiographs of all subjects for the presence of sialoliths. Intraobserver and interobserver agreement were assessed using the kappa test. Sensitivity, specificity, accuracy, positive and negative predictive values, and the diagnostic odds ratio of panoramic and occlusal radiographs in screening for submandibular sialoliths were calculated for each observer. Results: The sensitivity and specificity values for occlusal and panoramic radiographs all ranged from 80% to 100%. The lowest values of sensitivity and specificity observed among the observers were 82.6% and 80%, respectively (P=0.001). Intraobserver and interobserver agreement were higher for occlusal radiographs than for panoramic radiographs, although panoramic radiographs demonstrated a higher overall accuracy. Conclusion: Both panoramic and occlusal radiographic techniques displayed satisfactory diagnostic performance and should be considered before using a CT scan to detect submandibular sialoliths.

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References

  1. Williams MF. Sialolithiasis. Otolaryngol Clin North Am 1999; 32: 819-34. https://doi.org/10.1016/S0030-6665(05)70175-4
  2. Marchal F, Kurt AM, Dulguerov P, Lehmann W. Retrograde theory in sialolithiasis formation. Arch Otolaryngol Head Neck Surg 2001; 127: 66-8. https://doi.org/10.1001/archotol.127.1.66
  3. Lustmann J, Regev E, Melamed Y. Sialolithiasis. A survey on 245 patients and a review of the literature. Int J Oral Maxillofac Surg 1990; 19: 135-8. https://doi.org/10.1016/S0901-5027(05)80127-4
  4. Gritzmann N. Sonography of the salivary glands. AJR Am J Roentgenol 1989; 153: 161-6. https://doi.org/10.2214/ajr.153.1.161
  5. Schwarz D, Kabbasch C, Scheer M, Mikolajczak S, Beutner D, Luers JC. Comparative analysis of sialendoscopy, sonography, and CBCT in the detection of sialolithiasis. Laryngoscope 2015; 125: 1098-101. https://doi.org/10.1002/lary.24966
  6. Markiewicz MR, Margarone JE 3rd, Tapia JL, Aguirre A. Sialolithiasis in a residual Wharton’s duct after excision of a submandibular salivary gland. J Laryngol Otol 2007; 121: 182-5.
  7. Sobrino-Guijarro B, Cascarini L, Lingam RK. Advances in imaging of obstructed salivary glands can improve diagnostic outcomes. Oral Maxillofac Surg 2013; 17: 11-9. https://doi.org/10.1007/s10006-012-0327-8
  8. Becker M, Marchal F, Becker CD, Dulguerov P, Georgakopoulos G, Lehmann W, et al. Sialolithiasis and salivary ductal stenosis: diagnostic accuracy of MR sialography with a three-dimensional extended-phase conjugate-symmetry rapid spin-echo sequence. Radiology 2000; 217: 347-58. https://doi.org/10.1148/radiology.217.2.r00oc02347
  9. Jager L, Menauer F, Holzknecht N, Scholz V, Grevers G, Reiser M. Sialolithiasis: MR sialography of the submandibular duct - an alternative to conventional sialography and US? Radiology 2000; 216: 665-71. https://doi.org/10.1148/radiology.216.3.r00se12665
  10. Madani G, Beale T. Inflammatory conditions of the salivary glands. Semin Ultrasound CT MR 2006; 27: 440-51. https://doi.org/10.1053/j.sult.2006.09.005
  11. Zenk J, Koch M, Klintworth N, Konig B, Konz K, Gillespie MB, et al. Sialendoscopy in the diagnosis and treatment of sialolithiasis: a study on more than 1000 patients. Otolaryngol Head Neck Surg 2012; 147: 858-63. https://doi.org/10.1177/0194599812452837
  12. Bialek EJ, Jakubowski W, Zajkowski P, Szopinski KT, Osmolski A. US of the major salivary glands: anatomy and spatial relationships, pathologic conditions, and pitfalls. Radiographics 2006; 26: 745-63. https://doi.org/10.1148/rg.263055024
  13. Bodner L. Giant salivary gland calculi: diagnostic imaging and surgical management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94: 320-3. https://doi.org/10.1067/moe.2002.123863
  14. Vaiman M. Comparative analysis of methods of endoscopic surgery of the submandibular gland: 114 surgeries. Clin Otolaryngol 2015; 40: 162-6. https://doi.org/10.1111/coa.12357
  15. Bossuyt PM, Reitsma JB, Bruns DE, Gatsonis CA, Glasziou PP, Irwig LM, et al. Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. Standards for Reporting of Diagnostic Accuracy. Clin Chem 2003; 49: 1-6. https://doi.org/10.1373/49.1.1
  16. Ardekian L, Klein HH, Araydy S, Marchal F. The use of sialendoscopy for the treatment of multiple salivary gland stones. J Oral Maxillofac Surg 2014; 72: 89-95. https://doi.org/10.1016/j.joms.2013.06.206
  17. Yousem DM, Kraut MA, Chalian AA. Major salivary gland imaging. Radiology 2000; 216: 19-29. https://doi.org/10.1148/radiology.216.1.r00jl4519
  18. Nahlieli O, Eliav E, Hasson O, Zagury A, Baruchin AM. Pediatric sialolithiasis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 709-12. https://doi.org/10.1067/moe.2000.109075a
  19. Zenk J, Iro H, Klintworth N, Lell M. Diagnostic imaging in sialadenitis. Oral Maxillofac Surg Clin North Am 2009; 21: 275-92. https://doi.org/10.1016/j.coms.2009.04.005
  20. McGurk M, Makdissi J, Brown JE. Intra-oral removal of stones from the hilum of the submandibular gland: report of technique and morbidity. Int J Oral Maxillofac Surg 2004; 33: 683-6. https://doi.org/10.1016/j.ijom.2004.01.024
  21. Koch M, Zenk J, Iro H. Algorithms for treatment of salivary gland obstructions. Otolaryngol Clin North Am 2009; 42: 1173-92. https://doi.org/10.1016/j.otc.2009.08.002

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