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JOURNAL ARTICLE
RESEARCH SUPPORT, NON-U.S. GOV'T
Salivary calculi and chronic sialoadenitis of the submandibular gland: a radiographic and histologic study.
Oral Surgery, Oral Medicine, and Oral Pathology 1984 November
This study correlated radiographic observations and histologic findings of submandibular glands with the diagnosis of salivary calculus and/or chronic sialoadenitis. During a 15-year period eighty-eight patients satisfied clinical requirements by having a radiographic examination performed prior to gland extirpation. Salivary calculi were present in 83% of the patients. The diagnostic accuracy of radiographs regarding salivary calculi in the submandibular gland system was 92%. Radiolucent calculi constituted 20% of the total number of cases with concrements. Failure to disclose concrements was caused by lack of contrast filling due to a damaged gland which presumably camouflaged radiolucent concretions. Ductal changes observed in sialograms corresponded to histologic changes in the glandular parenchyma in 96% of the cases. The absence of ductal change in sialograms did not necessarily indicate a nondiseased gland.
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