Ultrasonographic Assessment of Submandibular Salivary Gland at a Tertiary Care Centre of Nepal

Authors

  • Prabhat Basnet Department of Radiology, College of Medical Sciences, Bharatpur Nepal
  • Ashutosh Kumar Singh Department of Oral and Maxillofacial Surgery, Institute of Medicine, Kathmandu, Nepal
  • Hari Prasad Uphadhayay Department of Statistics, Birendra Multiple Campus, Chitwan, Nepal
  • Kapil Amgain Department of Anatomy and Cell Biology, Karnali Academy of Health Sciences, Jumla, Nepal
  • Rajib Chaulagain Department of Oral Pathology, Chitwan Medical College, Chitwan, Nepal

DOI:

https://doi.org/10.61814/jkahs.v6i1.781

Keywords:

Submandibular gland, Salivary gland, Ultrasonography

Abstract

Background: There various disease condition which can leads to increased size of the submandibular gland. Normal dimensions of salivary gland is useful for identification and diagnosis of various associated pathology. The study objective was to assess the normal dimension of submandibular gland using ultrasonograph at a tertiary care centre of Nepal.

Methods: The descriptive cross-sectional study was conducted in Department of Radiology and Imaging College of Medical Sciences, Bharatpur, Nepal among 126 patients. Ultrasound of submandibular gland was done of all patients with Toshiba Aplio 500 superficial probe. The data was collected and entered into Statistical Package for the Social Sciences version 16 and analyzed using descriptive statistics. Later the data was presented in form of tables.

Results: There were in total 126 patients who participated in the study. Among them 78 (61.9%) were females and rest were males. The mediolateral width of right submandibular salivary gland (2.70±0.40 cms) was slightly greater than the left side. The volume of left salivary gland (6.91±2.32 cm3) was slightly larger than the right side in male. However, there was no statistically significant difference between male and female

Conclusion: This study concluded that the volume of left salivary gland was slightly larger than the right side. The volume of salivary gland of females was more than male.

Keywords: Submandibular gland, Salivary gland, Ultrasonography.

References

Kamble RC, Joshi AN, Mestry PJ. Ultrasound characterization of salivary lesions. Int J Otorhinolaryngol Clin. 2013;5(1):2013-90.

Onkar D, Onkar P. Submandibular gland biometry by high frequency ultrasound. Journal of the Anatomical Society of India. 2016;65(2):156-8.https://doi.org/10.1016/j.jasi.2017.01.006

Uzun B, Özkiriş M, Kubilay U. The changes in submandibular gland size and function following chorda tympani section. European archives of oto-rhino-laryngology. 2011;268(8):1119-26. https://doi.org/10.1007/s00405-010-1470-1

Fang K-M, Wen M-H, Hsu W-L, Chang C-M, Hou P-Y, Liao L-J. Ultrasonographic and elastographic biometry in adult major salivary glands: a preliminary case-control report. Scientific Reports. 2019;9(1):1-7.

https://doi.org/10.1038/s41598-019-45230-y

Afzelius P, Nielsen MY, Ewertsen C, Bloch KP. Imaging of the major salivary glands. Clinical physiology and functional imaging. 2016;36(1):1-10. https://doi.org/10.1111/cpf.12199

Carotti M, Ciapetti A, Jousse-Joulin S, Salaffi F. Ultrasonography of the salivary glands: the role of grey-scale and colour/power Doppler. Clin Exp Rheumatol. 2014;32(1 Suppl 80):S61-70.

Ariji Y, Ariji E, Araki K, Nakamura S, Kanda S. Studies on the quantitative computed tomography of normal parotid and submandibular salivary glands. Dentomaxillofacial Radiology. 1994;23(1):29-32. https://doi.org/10.1259/dmfr.23.1.8181656

Manetti L, Bogazzi F, Brogioni S, Grasso L, Lupi I, Genovesi M, et al. Submandibular salivary gland volume is increased in patients with acromegaly. Clinical endocrinology. 2002;57(1):97-100. https://doi.org/10.1046/j.1365-2265.2002.01576.x

Bhatia KSS, Dai Y-L. Routine and advanced ultrasound of major salivary glands. Neuroimaging Clinics. 2018;28(2):273-93. https://doi.org/10.1016/j.nic.2018.01.007

Dost P. Ultrasonographic biometry in normal salivary glands. Eur Arch Otorhinolaryngol. 1997;254 Suppl 1:S18-9. https://doi.org/10.1007/BF02439713

Heo M-S, Lee S-C, Lee S-S, Choi H-M, Choi S-C, Park T-W. Quantitative analysis of normal major salivary glands using computed tomography. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2001;92(2):240-4. https://doi.org/10.1067/moe.2001.114756

Imanimoghaddam M, Rahrooh M, Tafakhori Z, Zahedanaraki S, Homaeieshandiz F. Changes of parotid and submandibular glands caused by radiotherapy-an ultrasound evaluation. Dentomaxillofacial Radiology. 2012;41(5):379-84. https://doi.org/10.1259/dmfr/17113005

Baldini C, Luciano N, Tarantini G, Pascale R, Sernissi F, Mosca M, et al. Salivary gland ultrasonography: a highly specific tool for the early diagnosis of primary Sjögren's syndrome. Arthritis research & therapy. 2015;17(1):1-8.https://doi.org/10.1186/s13075-015-0657-7

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(3):745-63. https://doi.org/10.1148/rg.263055024

Ching A, Ahuja A. High-resolution sonography of the submandibular space: anatomy and abnormalities. American Journal of Roentgenology. 2002;179(3):703-8. https://doi.org/10.2214/ajr.179.3.1790703

Bartlett L, Pon M. High‐resolution real‐time ultrasonography of the submandibular salivary gland. Journal of Ultrasound in Medicine. 1984;3(10):433-7. https://doi.org/10.7863/jum.1984.3.10.433

Gritzmann N, Rettenbacher T, Hollerweger A, Macheiner P, Hübner E. Sonography of the salivary glands. European radiology. 2003;13(5):964-75. https://doi.org/10.1007/s00330-002-1586-9

Choi I, Na DG, Paik W. Ultrasonographic echogenicity of normal salivary glands in adults: comparison of submandibular and parotid glands. Ultrasonography. 2021;40(3):342-8.

https://doi.org/10.14366/usg.20070

Katz P, Hartl DM, Guerre A. Clinical ultrasound of the salivary glands. Otolaryngologic Clinics of North America. 2009;42(6):973-1000. https://doi.org/10.1016/j.otc.2009.08.009

Dost P, Kaiser S. Ultrasonographic biometry in salivary glands. Ultrasound in medicine & biology. 1997;23(9):1299-303. https://doi.org/10.1016/S0301-5629(97)00152-X

Published

2023-04-20

How to Cite

1.
Basnet P, Singh AK, Uphadhayay HP, Amgain K, Chaulagain R. Ultrasonographic Assessment of Submandibular Salivary Gland at a Tertiary Care Centre of Nepal . Journal of Karnali Academy of Health Sciences [Internet]. 2023Apr.20 [cited 2024May9];6(1). Available from: https://jkahs.org.np/jkahs/index.php/jkahs/article/view/781

Most read articles by the same author(s)

1 2 3 4 > >>