return to: Sialogram Technique; Sialograms and Sialography; Turner Needle used for Wharton's Duct (Submandibular Duct) Cannulation; Parotid duct dilation and steroid insufflation in clinic; Cook Medical Salivary Access Dilator Set
see also video: Salivary Cannulation and Infusion Techniques; In Office Sialodochoplasty (Office Based) Wharton's Ductoplasty Under Local Anesthesia Following Submandibular Gland Resection
"Salivary Duct Canulation/Dilation/Steroid Infusion"
Equipment
- Medicine Cup (plastic) (1)
- Cotton tipped applicator (5)
- 1 cc Syringe Luer Lock (2)
- 5cc Syringe
- 18 G needle to draw up Kenalog
- 22 G Abbocath (Stores #907578) (2)
- 24 G Abbocath (Stores #907577) (2)
- House-Rosen Needle a.k.a Turner needle used more commonly for submandibular gland
- Ziegler dilator (1) – (rarely used), can borrow from ASC
- Kittners (2) packages
- 4 x 4 Sponge (1) pack
- Oto Minor Tray (1) – order from CSS
- (DeBakey) Forceps should be included on Minor Tray
- (2) Extra Single DeBakey Forceps with Dr. Hoffman’s name- keep in Blue Box
- .015 guide wires, both the 30 and 50 cm lengths (Cook Medical) (see photo in: Parotid duct dilation and steroid insufflation in clinic)
- COOK Salivary Access Dilators (package of 4 Fr 5 Fr 6 Fr 7 Fr)
- May request Marchal hollow bore metal dilators
Medications
- 2% Viscious Lidocaine (1)
- Kenalog 10 (2) bottles -potential for 5 cc to be instilled into each gland
- Do not draw up medication into syringe. (Dr. Hoffman to draw up).
- Lubricating gel (usually use the 2% viscous lidocaine instead of the K-Y gel
Extra Supplies - unlikely to need for routine cases
- 4-0 Vicryl / needle driver / scissors / scalpel with 15 blade
- Silver Nitrate Sticks