Ultrasound-Guided Salivary Gland Techniques and Interpretations

      Ultrasound examination is standard in the initial evaluation of salivary disorders, providing a better assessment than palpation alone.


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        • Bialek E.J.
        • Jakubowski W.
        Mistakes in ultrasound examination of salivary glands.
        J Ultrason. 2016; 16: 191-203
      1. Hoffman HT, editor. Iowa head and neck protocols “Salivary Ultrasound”. Available at: Accessed November 20, 2017.

      2. AIUM practice guideline for the performance of ultrasound examinations of the head and neck.
        J Ultrasound Med. 2014; 33: 366-382
      3. AIUM practice parameter for documentation of an ultrasound examination. 2014 by the American Institute of Ultrasound in Medicine downloaded. Available at: Accessed October 30, 2017.

      4. 2013 AIUM practice parameter for performance of ultrasound of the head and neck. Available at: Accessed November 05, 2017.

      5. Hoffman HT, editor. Iowa head and neck protocols “figures for ultrasound guided salivary gland techniques and interpretations”. Available at: Accessed November 20, 2017.

        • Buch K.
        • Rohini N.N.
        • Fujita A.
        • et al.
        Clinical associations of incidentally detected parotid gland calcification on CT.
        Laryngoscope. 2015; 125: 1360-1365
        • Goncalves M.
        • Schapher M.
        • Iro H.
        • et al.
        Value of sonography in the diagnosis of sialolithiasis.
        J Ultrasound Med. 2017; 36: 2227-2235
        • Bozzato A.
        • Hertel V.
        • Bumm K.
        • et al.
        Salivary simulation with ascorbic acid enhances sonographic diagnosis of obstructive sialadenitis.
        J Clin Ultrasound. 2009; 37: 329-332
        • Terraz S.
        • Poletti P.A.
        • Dulguerov P.
        • et al.
        How reliable is sonography in the assessment of sialolithiasis?.
        AJR Am J Roentgenol. 2013; 201: W104-W109
        • Schwarz D.
        • Kabbasch C.
        • Scheer M.
        • et al.
        Comparative analysis of sialendoscopy, sonography, and CBCT in the detection of sialolithiasis.
        Laryngoscope. 2015; 125: 1098-1101
        • Patel N.J.
        • Hashemi S.
        • Joshi A.S.
        Sonopalpation: a novel application of ultrasound for detection of submandibular calculi.
        Otolaryngol Head Neck Surg. 2014; 151: 770-775
        • Ngu R.K.
        • Brown J.E.
        • Whaites E.J.
        • et al.
        Salivary duct strictures:nature and incidence in benign salivary obstruction.
        Dentomaxillofac Radiol. 2007; 36: 63-67
        • Lee L.I.
        • Pawar R.R.
        • Whitely S.
        • et al.
        Incidence of different causes of benign obstructive of the salivary glands: retrospective analysis of 493 cases using fluoroscopy and digital subtraction sialography.
        Br J Oral Maxillofac Surg. 2015; 53: 54-57
        • Makdissi J.
        • Feinberg L.
        • Roy A.
        Is there a role for ultrasound-guided balloon sialoplasty technique in salivary gland structures.
        Dentomaxillofac Radiol. 2017; 46: 20170088
        • Larson A.R.
        • Aubin-Pouliot A.
        • Delagnes E.
        • et al.
        Surgeon-performed ultrasound for chronic obstructive sialadenitis helps predict sialendoscopic findings and outcomes.
        Otolarygnol Head Neck Surg. 2017; 157: 973-980
        • Bootsma H.
        • Spijkervet F.K.
        • Kroese F.G.
        • et al.
        Toward new classification criteria for Sjogren’s syndrome?.
        Arthritis Rheum. 2013; 65: 21-23
        • Jousse-Joulin S.
        • Nowak E.
        • Cornec D.
        • et al.
        Salivary gland ultrasound abnormalities in primary Sjögren’s syndrome: consensual US-Score items definition and reliability.
        RMD Open. 2017; 3: eooo364
        • Astorri E.
        • Sutcliffe N.
        • Richards P.S.
        • et al.
        Ultrasound of the salivary glands is a strong predictor of labial gland biopsy histopathology in patients with sicca symptoms.
        J Oral Pathol Med. 2016; 45: 450-454
      6. Miriam Webster Dictionary. Available at: Accessed November 23, 2017.

        • Potash A.
        • Hoffman H.T.
        Retrograde sialendoscopy: a new technique for avoiding retained ductal stones.
        Ann Otol Rhinol Laryngol. 2012; 121: 38-43
      7. Hoffman HT, editor. Iowa head and neck protocols “Botulinum neurotoxin treatment of salivary gland disorders”. Available at: Accessed November 20, 2017.

        • Costache A.
        • Dumitru M.
        • Anghel I.
        • et al.
        Ultrasonographic anatomy of head and neck- a pictorial for the ENT specialist.
        Med Ultrason. 2015; 17: 104-108
        • Badea A.F.
        • Szora A.T.
        • Ciuleanu E.
        • et al.
        AFRI quantitative elastography of the submandibular glands. Normal measurements and the diagnosis value of the method in radiation submaxillitis.
        Med Ultrason. 2013; 15: 173-179
        • Sebag F.
        • Vaillant-Lombard J.
        • Berbis J.
        • et al.
        Shear wave elastography: a new ultrasound imaging mode for the differential diagnosis of benign and malignant thyroid nodules.
        J Clin Endocrinol Metab. 2010; 95: 5281-5288
        • Sobrino-Guijarro B.
        • Cascarini L.
        • Lingam R.K.
        Advances in imaging of obstructed salivary glands can improve diagnostic outcomes.
        Oral Maxillofac Surg. 2013; 17: 11-19
        • Gritzmann N.
        • Rettenbacher T.
        • Hollerweger A.
        • et al.
        Sonography of the salivary glands.
        Eur Radiol. 2003; 13: 964-975
        • David E.
        • Cantisani V.
        • De Vincentiis M.
        • et al.
        Contrast-enhanced ultrasound in the evaluation of parotid gland lesions: an update of the literature.
        Ultrasound. 2016; 24: 104-110
        • Zengel P.A.
        • Berghaus C.
        • Weiler M.
        • et al.
        Intraductally applied contrast-enhanced ultrasound (IA-Ceus) for evaluating obstructive disease and secretory dysfunction of the salivary glands.
        Eur Radiol. 2011; 21: 1339-1348