EFFECTIVENESS OF ULTRASOUND EXAMINATION IN THE DIAGNOSIS OF PATHOLOGICAL PROCESSES OF THE MAXILLOFACIAL AREA IN CHILDREN

Authors:

Abstract:

In everyday clinical medical practice, there is a steady increase in the frequency of ultrasound examinations. We determined the effectiveness of its use in diagnosing pathological processes of the maxillofacial region based on the examination of 78 children aged 3 months to 17 years with various head and neck pathologies. The most significant number of ultrasound examinations was performed in patients with various nosological forms of lymphadenitis. As part of this work, 9 Doppler scans were performed. The results allow us to state that ultrasound examination, distinguished by its safety and effectiveness, is quite promising, requiring wider use in diagnosing and diagnosing diseases of the salivary glands, pathology of soft tissues of the maxillofacial region, lymph nodes, and vascular formations. Against its high informativeness, the possibility of some limitations of using diagnostic X-ray techniques and invasive diagnostic interventions and a more rational use of other radiation examination methods – computed tomography and magnetic resonance imaging – seems quite justified.

Keywords:

children ultrasound examination Doppler ultrasonography maxillofacial region salivary glands lymphadenitis neck cysts

References:

1. Ksonz IV. Analiz ultrazvukovih harakteristik pri gostrih ta hronichnih pidnizhnoshelepnih limfadenitah u ditej. Visnik Vinnickogo nacionalnogo medichnogo universitetu. 2015;(2):371–6. [in Ukrainian].
2. Tkachenko PI, Starchenko II, Bilokon SO, Rezvina KYu, Shvec AI. Metodologichnij pidhid do diagnostiki i likuvannya bichnih kist ta noric shiyi u ditej. Visnik Ukrayinskoyi medichnoyi stomatologichnoyi akademiyi. 2020;20(1):154–160. [in Ukrainian].
3. Alhammadi MS, Al-mashraqi AA, Alnami RH, Ashqar NM, Alamir OH, Halboub E et al. Accuracy and Reproducibility of Facial Measurements of Digital Photographs and Wrapped Cone Beam Computed Tomography (CBCT) Photographs. Diagnostics. 2021; 11(5):757. DOI: 10.3390/diagnostics11050757.
4. Amin S N, Patterson KT, Cvancara DJ, Dahl JP. Pediatric Salivary Gland Pathology. Oral Maxillofacial Surgery Clinics. 2024 Aug;36(3):317-332. DOI: 10.1016/j.coms.2024.02.001.
5. Avetikov DS, Bukhanchenko OP, Ivanytskyi IO, Aipert VV, Steblovskyi DV. Perspectives for applying the additional study methods for diagnostics optimization of postoperative hypertrophic scars of the head and neck. Wiad Lek. 2018;71(3 pt 1):470-473. PMID: 29783207.
6. Diaz L, Contador R, Albrecht H, Iba´nez M, Urrutia P, Bencze B, Toro M et al. Clinical Applications of Ultrasound Imaging in Dentistry: A comprehensive literature review. Dentistry Review. 2024; 4(2):100086. DOI: 10.1016/j.dentre.2024.100086.
7. Ekici ES, Buyukavci M, Gunduz Y, Orhan MF, Elmas B. The Role of Ultrasonography in the Discrimination of Reactive Lymphadenopathy in Children. The Journal of Current Pediatrics. 2024; 22:39-44. DOI:10.4274/jcp.2024.81567.
8. Hosokawa T, Tanami Y, Sato Y, Adachi N, Asanuma H, Oguma E. Clinical audit of ultrasonography for detecting sialoliths in the submandibular gland in paediatric patients: A comparison to computed tomography and magnetic resonance imaging. Australas J Ultrasound Med. 2023 Dec 9;27(1):19-25. DOI: 10.1002/ajum.12370.
9. Izzetti R, Nisi M. Imaging the Micron: New Directions in Diagnosis with Ultra-High-Frequency Ultrasound. Diagnostics. 2024; 14(7):735. DOI:10.3390/diagnostics14070735.
10. Izzetti R, Vitali S, Aringhieri G, Nisi M, Oranges T, Dini V, Ferro F et al. Ultra-High Frequency Ultrasound, A Promising Diagnostic Technique: Review of the Literature and Single-Center Experience. Can Assoc Radiol J. 2021 Aug;72(3):418-431. DOI: 10.1177/0846537120940684.
11. Kadhim MS, D.Al-Aswad F. Ultrasound Evaluations of Major Salivary Gland Pathology. Tikrit Journal for Dental Sciences. 2024; 12(1): 239–253. DOI:10.25130/tjds.12.1.26.
12. Lokes KP, Voloshyna LI, Ivanytska OS, Yatsenko IV, Gavriliev VM, Rozkolupa OO, Avetikov DS. Formation of optimal scar on the background of surgical treatment of maxillofacial diseases of different origins. World of medicine and biology. 2023;2(84):102-5. DOI: 10.26724/2079-8334-2023-2-84-102-105.
13. Meadows O, Sarkodieh J. Ultrasound evaluation of persistent cervical lymph nodes in young children. Clin Radiol. 2021 Apr;76(4):315.e9-315.e12. DOI: 10.1016/j.crad.2020.12.021.
14. Reda R, Zanza A, Cicconetti A, Bhandi S, Miccoli G, Gambarini G et al. Ultrasound Imaging in Dentistry: A Literature Overview. J Imaging. 2021 Nov 14;7(11):238. DOI: 10.3390/jimaging7110238.
15. Subramaniam S, Bober J, Chao J, Zehtabchi S. Point-of-care Ultrasound for Diagnosis of Abscess in Skin and Soft Tissue Infections. Acad Emerg Med. 2016 Nov;23(11):1298-1306. DOI: 10.1111/acem.13049.

Publication:

«World of Medicine and Biology» Vol. 21 No. 91 (2025) , с. 116-121
УДК 616.31+616.716.1/4+617.51/53]:616-073/48:616-053.2

DOI:

https://doi.org/10.26724/2079-8334-2025-1-91-116-121