Original Research

Value of Sonography in the Diagnosis of Sialolithiasis: Comparison With the Reference Standard of Direct Stone Identification

Corresponding Author

Miguel Goncalves MD

[email protected]

orcid.org/0000-0003-0497-6986

Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Erlangen, Germany

Address correspondence to Miguel Goncalves, MD, Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Waldstraße 1, 91054 Erlangen, Germany. E-mail: [email protected]Search for more papers by this author

Mirco Schapher MD,

Mirco Schapher MD

Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Erlangen, Germany

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Heinrich Iro MD,

Heinrich Iro MD

Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Erlangen, Germany

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Wolfgang Wuest MD,

Wolfgang Wuest MD

Institute of Radiology, University of Erlangen–Nuremberg, Erlangen, Germany

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Konstantinos Mantsopoulos MD,

Konstantinos Mantsopoulos MD

Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Erlangen, Germany

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Michael Koch MD,

Michael Koch MD

Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Erlangen, Germany

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Miguel Goncalves MD,

Corresponding Author

Miguel Goncalves MD

[email protected]

orcid.org/0000-0003-0497-6986

Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Erlangen, Germany

Mirco Schapher MD,

Mirco Schapher MD

Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Erlangen, Germany

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Heinrich Iro MD,

Heinrich Iro MD

Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Erlangen, Germany

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Wolfgang Wuest MD,

Wolfgang Wuest MD

Institute of Radiology, University of Erlangen–Nuremberg, Erlangen, Germany

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Konstantinos Mantsopoulos MD,

Konstantinos Mantsopoulos MD

Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Erlangen, Germany

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Michael Koch MD,

Michael Koch MD

Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen–Nuremberg, Erlangen, Germany

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First published: 27 May 2017

https://doi.org/10.1002/jum.14255

Citations: 34

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Abstract

Objectives

The aim of this study was to assess the effectiveness of sonography for diagnosing sialolithiasis in comparison with the existing reference standard of direct identification of a stone.

Methods

A total of 659 glands with signs of obstructive sialadenopathy were evaluated retrospectively. Sonographic examinations of the large head salivary glands had been performed initially in all cases. Direct depiction of a stone during sialoendoscopy or transoral ductal surgery or observation of stone fragmentation with discharge of concrements after extracorporeal shock wave lithotripsy, was regarded as definitive evidence and as the reference standard for the presence of sialolithiasis. The sonographic results were compared with those for direct identification of stones.

Results

The sensitivity of sonography was 94.7%, with specificity of 97.4%, a positive predictive value of 99.4%, and a negative predictive value of 79.6%. Stones that were not diagnosed correctly on sonography were most often located in the distal area of the duct.

Conclusions

These results show that sialolithiasis can be diagnosed by sonography with a high degree of certainty. Sonography thus appears to be highly appropriate as the examination method of choice.

References

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Volume36, Issue11

November 2017

Pages 2227-2235

Value of Sonography in the Diagnosis of Sialolithiasis: Comparison With the Reference Standard of Direct Stone Identification

Abstract

Objectives

Methods

Results

Conclusions

References

Citing Literature

References

Information

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Value of Sonography in the Diagnosis of Sialolithiasis: Comparison With the Reference Standard of Direct Stone Identification

Abstract

Objectives

Methods

Results

Conclusions

References

Citing Literature

References

Related

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