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Checklist Steroid Insufflation to Salivary Glands in Clinic

last modified on: Sat, 02/19/2022 - 15:57

Checklist for Steroid (Kenalog 10) Insufflation to Salivary Glands (Parotid & Submandibular) in Clinic 

 

 return to: Sialogram Technique

Sialograms and SialographyTurner Needle used for Wharton's Duct (Submandibular Duct) Cannulation

Parotid duct dilation and steroid insufflation in clinic and Cook Medical Salivary Access Dilator Set

see also video:Salivary Cannulation and Infusion TechniquesIn 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
  Turner needle (Rosen pick or Rosen needle) - Otologic instrument
  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 Dilatros (package of 4Fr 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 jel (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