Sialocele
Updates to Article Attributes
A sialocoeleSialoceles refers to aare cystic spacespaces (usually saliva containing) arising within a salivary gland.
Pathology
They are essentially post- traumatic or iatrogenic in nature. The proposed mechanism includes laceration of the salivary glad duct or ductal stenosis with subsequent dilatation.
Clinical presentation
Patients are often asymptomatic soft and may present with mobile swelling involving the affected salivary gland.
Radiographic features
Ultrasound
May show a hypoehoic - anechoic-anechoic cyst within the affected salivary gland.
MRI - MR sialography
Axial T2 weighted and CISS sequences have been show to be useful to show the location (intra / extraparenchymal/extraparenchymal, superficial/deep lobe) of the cyst and its relation to muscles and vessels.
Treatment and prognosis
Management of sialocoeles have been controversial with a range of surgical and nonsurgical treatment modalities been proposed.
Differential diagnosis
On imaging consider other cystic parotid lesions
-<p>A <strong>sialocoele</strong> refers to a cystic space (usually saliva containing) arising within a salivary gland.</p><h4>Pathology</h4><p>They are essentially post- traumatic or iatrogenic in nature. The proposed mechanism includes laceration of the salivary glad duct or ductal stenosis with subsequent dilatation.</p><h4>Clinical presentation</h4><p>Patients are often asymptomatic soft and may present with mobile swelling involving the affected salivary gland.</p><h4>Radiographic features</h4><h5>Ultrasound</h5><p>May show a hypoehoic - anechoic cyst within the affected salivary gland.</p><h5>MRI - MR sialography</h5><p>Axial T2 weighted and CISS sequences have been show to be useful to show the location (intra / extraparenchymal, superficial/deep lobe) of the cyst and its relation to muscles and vessels. </p><h4>Treatment and prognosis</h4><p>Management of sialocoeles have been controversial with a range of surgical and nonsurgical treatment modalities been proposed. </p><h4>Differential diagnosis</h4><p>On imaging consider other <a href="/articles/cystic-parotid-lesions">cystic parotid lesions</a></p>- +<p><strong>Sialoceles</strong> are cystic spaces (usually saliva containing) arising within a salivary gland.</p><h4>Pathology</h4><p>They are essentially post- traumatic or iatrogenic in nature. The proposed mechanism includes laceration of the salivary glad duct or ductal stenosis with subsequent dilatation.</p><h4>Clinical presentation</h4><p>Patients are often asymptomatic soft and may present with mobile swelling involving the affected salivary gland.</p><h4>Radiographic features</h4><h5>Ultrasound</h5><p>May show a hypoehoic-anechoic cyst within the affected salivary gland.</p><h5>MRI</h5><p>Axial T2 weighted and CISS sequences have been show to be useful to show the location (intra/extraparenchymal, superficial/deep lobe) of the cyst and its relation to muscles and vessels. </p><h4>Treatment and prognosis</h4><p>Management of sialocoeles have been controversial with a range of surgical and nonsurgical treatment modalities been proposed. </p><h4>Differential diagnosis</h4><p>On imaging consider other <a href="/articles/cystic-parotid-lesions">cystic parotid lesions</a></p>
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