powerpoint: 2022 August 30 What Sialendoscopy Can Cant Do HH long version includes cannulation techniques_0.pptx
see also: Salivary Cannulation and Infusion Techniques (3 minute video); Submandibular duct cannulation; Turner Needle used for Wharton's Duct (Submandibular Duct) Cannulation; Checklist Steroid Insufflation to Salivary Glands in Clinic
Cook Medical Salivary Access Dilator Set; Salivary Gland Terminology (Anatomy, Salivation, Dry Mouth, Drooling); Submandibular Sialogram with Stricture Showing Dynamic Changes to Duct Morphology During Infusion and Catheter Removal; Sialograms and Sialography; Instructions to patients submandibular salivary stones
See video:
See additional video:
Additional considerations:
As per Barsky and Silberman (1932)
a. "Movements of the cheek affect the duct, straightening its course or making it more irregular"
b. "A colored solution of some kind, such as 3.5 per cent iodine, is applied to the papilla, and the opening of the duct is disclosed"
Historical Perspective - perhaps identifying why some still consider the process of sialography to be 'invasive' (we do not consider it 'invasive'):
a. Use of cut-down for submandibular duct with identification of lingual nerve and mobilization of the duct for cannulation (Friedlander 1976)
b. Use of a series of horse-hairs to place (~4) to dilate the duct (mention also made of 4-0 nylon)
References
Barsky AJ, Silberman H. Röntgen Visualization of the Parotid Gland by Means of Lipiodol Injection. Ann Surg. 1932 Jan;95(1):46-51. doi: 10.1097/00000658-193201000-00004. PMID: 17866716; PMCID: PMC1391546.
Friedlander AH: Cut-down sialography fo the submandibular gland. pp 555-556 J Oral Surgery Vol 34, June 1976 with comment p556 by Baurmash H DDS
Thomas AR: The Technique of Sialography p; 209-212 British Journ of Radiology vol 29, Journal issue 340 April 1956