Diagnosis of salivary gland disorders

  • K. Graamans
  • H. P. Van Den Akker

Table of contents

  1. Front Matter
    Pages i-xiv
  2. K. Graamans, H. P. Van Den Akker
    Pages 1-3
  3. H. P. Van Den Akker, P. F. Dijkstra
    Pages 5-26
  4. E. L. Mooyaart, K. Graamans
    Pages 27-38
  5. N. J. M. Freling, K. Graamans
    Pages 39-50
  6. R. J. Baatenburg De Jong, R. J. Rongen
    Pages 51-68
  7. H. P. Van den Akker, E. Busemann-Sokole
    Pages 69-87
  8. P. Van Heerde
    Pages 89-103
  9. P. B. Van Cauwenberge
    Pages 129-138
  10. L. F. E. Michels
    Pages 139-161
  11. H. P. Van den Akker, K. Graamans
    Pages 163-171
  12. Back Matter
    Pages 173-175

About this book


Historically, disorders of salivary glands tend to be 'underdiagnosed and overtreated'. In the vast body of literature on this subject, emphasis has usually been put on therapeutic modalities of various diseases of the salivary glands. Whereas therapy and pathology have been treated in numerous thorough studies, the (patho )physiology of the salivary glands has remained rather poorly understood. Even less attention has been given to the diagnostic methods. Until a few decades ago, diagnosis consisted mainly of a clinical examin­ ation which included the patient's history, inspection, and palpation. These methods remain crucial, but a variety of new diagnostic tools have appeared since then. Their clinical value is still subject to controversy; each method has its advocates and opponents. The indications for enrolling a patient at a given point in a series of diagnostic procedures are interpreted differently. One of the most striking examples is the use of sialography. This has become a classic diagnostic procedure. Although sialography is still a useful method, it has considerable disadvantages, limitations, and even contraindications. In the major teaching hospitals, residents still tend to consider sialography as a panacea for the majority of their diagnostic problems, whereas the infor­ mation provided is actually rather restricted. Other modern methods such as CT and MRI have taken over the role of sialography to a certain extent. This also applies to ultrasonography and scintigraphy. Moreover, microbiol­ ogy, sialometry, sialochemistry, cytology, and histopathology may give super­ ior information in certain cases.


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Editors and affiliations

  • K. Graamans
    • 1
  • H. P. Van Den Akker
    • 2
  1. 1.Department of OtorhinolaryngologyUniversity Hospital UtrechtUtrechtThe Netherlands
  2. 2.Department of Oral and Maxillofacial Surgery, Academic Medical Centre and Academic Centre for Dentistry (ACTA)University of AmsterdamAmsterdamThe Netherlands

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