Interventional Radiology in Dentistry
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1 Interventional Radiology in Dentistry PL Westesson University of Rochester Medical Center Rochester, New York Presentation material is for education purposes only. All rights reserved URMC Radiology Page 1 of 28
2 INTRODUCTION Interventional maxillofacial radiology is an offspring of the general radiology interventions. This is one of the fastest growing areas of radiology where imaging techniques are used to perform procedures that previously needed an open approach. The minimally invasive approach have reduced morbidity, mortality and shortened hospital stays. It is now often possible to both diagnose and treat lesions that in the past, required an open surgical procedure. Presentation material is for education purposes only. All rights reserved URMC Radiology Page 2 of 28
3 Diagnostic procedures TMJ Salivary glands Eye Biopsy Therapeutic procedures Balloon dilatation Botox Embolization Presentation material is for education purposes only. All rights reserved URMC Radiology Page 3 of 28
4 TMJ arthrogram Presentation material is for education purposes only. All rights reserved URMC Radiology Page 4 of 28
5 TMJ arthroscopy Diagnosis Lavage Lysis of adhesions Presentation material is for education purposes only. All rights reserved URMC Radiology Page 5 of 28
6 Sialography Presentation material is for education purposes only. All rights reserved URMC Radiology Page 6 of 28
7 Sialography Submandibular Gland Regular technique Digital subtraction Presentation material is for education purposes only. All rights reserved URMC Radiology Page 7 of 28
8 Sialography Parotid Gland Normal? Presentation material is for education purposes only. All rights reserved URMC Radiology Page 8 of 28
9 Sialography Parotid Gland No not normal DSA sialogram MR image Presentation material is for education purposes only. All rights reserved URMC Radiology Page 9 of 28
10 Biopsy of Deep Parotid Lesion Presentation material is for education purposes only. All rights reserved URMC Radiology Page 10 of 28
11 CT Guided Biopsy Pleomorphic adenoma Presentation material is for education purposes only. All rights reserved URMC Radiology Page 11 of 28
12 CT Guided Biopsy Needle for core biopsy Presentation material is for education purposes only. All rights reserved URMC Radiology Page 12 of 28
13 Interventional Sialography Presentation material is for education purposes only. All rights reserved URMC Radiology Page 13 of 28
14 Interventional Sialography After penetration with guidewire Presentation material is for education purposes only. All rights reserved URMC Radiology Page 14 of 28
15 Balloon Dilatation Presentation material is for education purposes only. All rights reserved URMC Radiology Page 15 of 28
16 Balloon Dilatation Balloon in place Presentation material is for education purposes only. All rights reserved URMC Radiology Page 16 of 28
17 Balloon Dilatation After balloon dilatation Presentation material is for education purposes only. All rights reserved URMC Radiology Page 17 of 28
18 Dacrocystogram Presentation material is for education purposes only. All rights reserved URMC Radiology Page 18 of 28
19 Lacrimal Duct Stenosis Presentation material is for education purposes only. All rights reserved URMC Radiology Page 19 of 28
20 Biopsy of Orbital Lesion Hemangioma Presentation material is for education purposes only. All rights reserved URMC Radiology Page 20 of 28
21 Biopsy of Orbital Lesion Imaging can only take you so far eventually you will need a diagnosis Presentation material is for education purposes only. All rights reserved URMC Radiology Page 21 of 28
22 Bone biopsy Chondrosarcoma Presentation material is for education purposes only. All rights reserved URMC Radiology Page 22 of 28
23 Botox Bruxism and tension headache Hyper salivation Perioral dystonia ALS CP Drooling children 30 units parotid 15 units submandibular Presentation material is for education purposes only. All rights reserved URMC Radiology Page 23 of 28
24 Embolization Presentation material is for education purposes only. All rights reserved URMC Radiology Page 24 of 28
25 Embolization Before After Presentation material is for education purposes only. All rights reserved URMC Radiology Page 25 of 28
26 Surgery Presentation material is for education purposes only. All rights reserved URMC Radiology Page 26 of 28
27 Diagnostic procedures TMJ arthrography TMJ arthroscopy Sialography Dacrocystography CT and MR guided biopsy Therapeutic procedures Salivary gland duct balloon dilatation Stone removals Tear duct dilatation and stent placement Botox in muscles of mastication Botox in salivary glands Embolization of nose bleeds Embolization of vascular lesion Presentation material is for education purposes only. All rights reserved URMC Radiology Page 27 of 28
28 SUMMARY This poster illustrates different procedures in interventional maxillofacial radiology. All of them can be done on an outpatient basis with local anesthetics and moderate sedation. The procedures are minimally invasive and have essentially no morbidity and mortality. They provide a high diagnostic yield with little complications. Presentation material is for education purposes only. All rights reserved URMC Radiology Page 28 of 28
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