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Checklist Steroid Insufflation to Salivary Glands in Clinic

last modified on: Thu, 08/31/2023 - 11:45

return to: Sialogram TechniqueSialograms and SialographyTurner Needle used for Wharton's Duct (Submandibular Duct) CannulationParotid duct dilation and steroid insufflation in clinicCook 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
  • 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
  • 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