Evaluation of submandibular and parotid salivary glands by ultrasonography in patients with diabetes

Author:

Ozturk Elif Meltem Aslan1ORCID,Yalcin Eda Didem2ORCID

Affiliation:

1. Department of Dentomaxillofacial Radiology, Faculty of Dentistry Lokman Hekim University Ankara Turkey

2. Department of Dentomaxillofacial Radiology, Faculty of Dentistry Istanbul Health and Technology University Istanbul Turkey

Abstract

AbstractBackgroundMicrovascular complications of diabetes mellitus (DM) include oral manifestations and complications, including xerostomia, reduced salivary flow, susceptibility to infection, periodontal disease and salivary gland enlargement.ObjectiveThe present study aims to evaluate B‐mode ultrasonography (USG) parameters such as size, volume and echogenicity of the submandibular and parotid salivary glands on both sides, shear‐wave elastography (SWE) value and colour Doppler properties in patients with DM and healthy control groups.MethodsIn total, 160 right and left submandibular glands and 160 right and left parotid glands of 80 patients, 40 patients (20 type 1 DM, 20 type 2 DM) and 40 healthy control group, between the ages of 18–70 were examined by USG. Echogenicity, parenchyma internal structure, margin and dimensional measurements (antero‐posterior length, supero‐inferior length, medio‐lateral length and volume) and colour Doppler with ‘ML 6‐15‐D Matrix Array (4‐15 MHz)’ probe, shear‐wave elastography ‘9L‐D (2–8 MHz)’ probe was investigated.ResultStatistically significant difference was observed in echogenicity in the right submandibular gland, echogenicity in the right parotid gland, margin characteristics, parenchymal homogeneity and colour Doppler characteristics between the type 1 DM, type 2 DM and control groups (p < .05). It was observed that the size, volume and SWE values of both submandibular and parotid glands were higher in the DM patient group than in the control group. Higher values were observed in type 2 DM compared to type 1 DM in the patient group.ConclusionUSG is an effective imaging technique in investigating the effects of diabetes on the submandibular and parotid salivary glands.

Publisher

Wiley

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