Significance of Dynamic Magnetic Resonance Sialography in Prognostic Evaluation of Saline Solution Irrigation of the Parotid Gland for the Treatment of Xerostomia

被引：8

作者：

Habu, Manabu ^{[2
]}

Tanaka, Tatsuro

Tomoyose, Taiki ^{[3
]}

Ono, Kentaro ^{[4
]}

Anzai, Toshihiro ^{[5
]}

Ozaki, Yuu ^{[6
]}

Yoshioka, Izumi ^{[2
]}

Yamashita, Yoshihiro ^{[3
]}

Kodama, Masaaki ^{[2
]}

Yamamoto, Noriaki ^{[3
]}

Oda, Masufumi

Wakasugi, Nao

Matsumoto, Shinobu

Takahashi, Tetsu ^{[3
]}

Inenaga, Kiyotoshi ^{[4
]}

Tominaga, Kazuhiro ^{[2
]}

Morimoto, Yasuhiro ^{[1
]}

机构：

[1] Kyushu Dent Coll, Dept Oral Diagnost Sci, Div Diagnost Radiol, Kokurakita Ku, Kitakyushu, Fukuoka 8038580, Japan

[2] Kyushu Dent Coll, Dept Oral & Maxillofacial Surg, Div Maxillofacial Diagnost & Surg Sci, Kitakyushu, Fukuoka 8038580, Japan

[3] Kyushu Dent Coll, Dept Oral & Maxillofacial Surg, Div Oral & Maxillofacial Reconstruct Surg, Kitakyushu, Fukuoka 8038580, Japan

[4] Kyushu Dent Coll, Dept Biosci, Div Physiol, Kitakyushu, Fukuoka 8038580, Japan

[5] Kyushu Dent Coll, Dept Hlth Promot, Div Community Oral Hlth Sci, Kitakyushu, Fukuoka 8038580, Japan

[6] Kyushu Dent Coll, Dept Control Phys Funct, Div Oral Care & Rehabil, Kitakyushu, Fukuoka 8038580, Japan

来源：

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY | 2010年 / 68卷 / 04期

关键词：

ECHO 3D-FASE SEQUENCES; MR SIALOGRAPHY; SJOGRENS-SYNDROME;

D O I：

10.1016/j.joms.2009.04.110

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Purpose: To evaluate the clinical significance of dynamic magnetic resonance (MR) sialographic images in prognostic evaluation of saline solution irrigation of the parotid gland for the treatment of xerostomia. Materials and Methods: Morphologic findings and functional parameters were evaluated by use of dynamic MR sialography before saline solution irrigation of the parotid gland for the treatment of xerostomia in 17 patients. In addition, the MR sialographic data before the saline solution irrigation treatment in patients with improvement of salivary secretion and the sensation of dry mouth after irrigation treatment were compared with data in patients without improvement. Results: The maximum changing ratio in the group of patients with improvement after treatment was significantly higher (P=.042) than that in the group of patients without improvement. In addition, high correlations were found between the changing ratio and improvement on the visual analog scale for dry mouth sensation after treatment (Pearson r=0.63, P=.001) and improvement of salivary flow rate (Pearson r=0.77, P=.001). Moreover, in 12 patients with improvement of salivary flow rate after the saline solution irrigation treatment, the maximum changing ratio before the saline solution irrigation treatment was over 1.2. However, no significant differences in other parameters, including the detectable ductal area, were found between the group of patients with improvement after treatment and the group without improvement. Conclusions: Our study suggests that dynamic MR sialography might be useful for the prognostic evaluation of saline solution irrigation of the parotid gland for the treatment of xerostomia. (C) 2010 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 68:768-776, 2010

引用

页码：768 / 776

页数：9

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