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Efficacy of corticosteroid ductal irrigation in acute salivary gland inflammation induced in a rat model

  • Lee, Chena (Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry) ;
  • Lee, Ari (Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry) ;
  • Kim, Hak-Sun (Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry) ;
  • Choi, Yoon Joo (Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry) ;
  • Jeon, Kug Jin (Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry) ;
  • Han, Sang-Sun (Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry)
  • Received : 2021.08.12
  • Accepted : 2021.10.04
  • Published : 2022.03.31

Abstract

Purpose: This study aimed to compare the therapeutic effects of corticosteroid irrigations and normal saline irrigations in the early inflammatory state of the salivary gland. Materials and Methods: Adult male Wistar rats were divided into experimental (n=6) and control (n=3) groups. Inflammation was induced in the experimental subjects on both sides of the submandibular gland with ligation. After 14 days, both sides of the glands were de-ligated and retroductal irrigation using saline (n=3) and a corticosteroid (n=3) was performed on the left sides only. The controls (n=3) were used to normalize the gland state for the effects of diet and aging. Magnetic resonance imaging was performed to confirm inflammation and post-irrigation gland recovery by measuring relative signal intensity (SI). The glands were excised for histological examination. Results: All experimental animals showed inflamed glands with increased SI and subsequent recovery of the gland with decreased SI to varying degrees. The SI of the controls showed no significant changes during the overall period. The mean SI change of the irrigated gland was higher than that of the non-irrigated side, without a significant difference. The corticosteroid-irrigated glands showed a greater change in SI than that of the saline-irrigated glands. Histology revealed that inflammation was not observed in most of the irrigated glands, while mild to moderate quantities inflammatory cells were found in non-irrigated glands. Conclusion: Corticosteroid irrigation mitigated the early stages of salivary gland inflammation more effectively than normal saline.

Keywords

Acknowledgement

This work was supported by a National Research Foundation of Korea (NRF) grant funded by the Korean government (MSIT) (grant number: 2020R1F1A1073956).

References

  1. Lee C, Kim JE, Huh KH, Yi WJ, Heo MS, Lee SS, et al. Therapeutic effect of intraductal irrigation of the salivary gland: a technical report. Imaging Sci Dent 2017; 47: 123-7. https://doi.org/10.5624/isd.2017.47.2.123
  2. Kim JE, Lee SS, Lee C, Huh KH, Yi WJ, Heo MS, et al. Therapeutic effect of intraductal saline irrigation in chronic obstructive sialadenitis. BMC Oral Health 2020; 20: 86. https://doi.org/10.1186/s12903-020-01078-7
  3. Wilson KF, Meier JD, Ward PD. Salivary gland disorders. Am Fam Physician 2014; 89: 882-8.
  4. Harrison JD. Causes, natural history, and incidence of salivary stones and obstructions. Otolaryngol Clin North Am 2019; 42: 927-47. https://doi.org/10.1016/j.otc.2009.08.012
  5. Antoniades D, Harrison JD, Epivatianos A, Papanayotou P. Treatment of chronic sialadenitis by intraductal penicillin or saline. J Oral Maxillofac Surg 2004; 62: 431-4. https://doi.org/10.1016/j.joms.2003.07.007
  6. Nair RP, Zheng C, Sunavala-Dossabhoy G. Retroductal submandibular gland instillation and localized fractionated irradiation in a rat model of salivary hypofunction. J Vis Exp 2016; 110: 53785.
  7. Varghese JJ, Schmale IL, Wang Y, Hansen ME, Newlands SD, Ovitt CE, et al. Retroductal nanoparticle injection to the murine submandibular gland. J Vis Exp 2018; 135: 57521.
  8. Varghese JJ, Schmale IL, Mickelsen D, Hansen ME, Newlands SD, Benoit DS, et al. Localized delivery of amifostine enhances salivary gland radioprotection. J Dent Res 2018; 97: 1252-9. https://doi.org/10.1177/0022034518767408
  9. Nahlieli O, Bar T, Shacham R, Eliav E, Hecht-Nakar L. Management of chronic recurrent parotitis: current therapy. J Oral Maxillofac Surg 2004; 62: 1150-5. https://doi.org/10.1016/j.joms.2004.05.116
  10. Mehdipour M, Zenouz AT. Role of corticosteroids in oral lesions. In: Magdeldin S. State of the art of therapeutic endocrinology. London: IntechOpen; 2012. p. 87-120.
  11. Barnes PJ, Adcock I. Anti-inflammatory actions of steroids: molecular mechanisms. Trends Pharmacol Sci 1993; 14: 436-41. https://doi.org/10.1016/0165-6147(93)90184-L
  12. Shimizu M, Sekine N, Nishimura K, Tokumori K, Saitoh M, Kanda S. Magnetic resonance imaging of experimentally-induced sialadenitis in rat submandibular glands. Dentomaxillofac Radiol 1999; 28: 330-7. https://doi.org/10.1038/sj/dmfr/4600470
  13. Osailan SM, Proctor GB, Carpenter GH, Paterson KL, McGurk M. Recovery of rat submandibular salivary gland function following removal of obstruction: a sialometrical and sialochemical study. Int J Exp Pathol 2006; 87: 411-23. https://doi.org/10.1111/j.1365-2613.2006.00500.x
  14. Song D, Shujaat S, Zhao R, Huang Y, Shaheen E, Van Dessel J, et al. In vivo quantification of mandibular bone remodeling and vascular changes in a Wistar rat model: A novel HR-MRI and micro-CT fusion technique. Imaging Sci Dent 2020; 50: 199-208. https://doi.org/10.5624/isd.2020.50.3.199
  15. Izumi M, Eguchi K, Nakamura H, Takagi Y, Kawabe Y, Nakamura T. Corticosteroid irrigation of parotid gland for treatment of xerostomia in patients with Sjogren's syndrome. Ann Rheum Dis 1998; 57: 464-9. https://doi.org/10.1136/ard.57.8.464
  16. Jokela J, Haapaniemi A, Makitie A, Saarinen R. Sialendoscopy in treatment of adult chronic recurrent parotitis without sialolithiasis. Eur Arch Otorhinolaryngol 2018; 275: 775-81. https://doi.org/10.1007/s00405-017-4854-7
  17. Lele SJ, Hamiter M, Fourrier TL, Nathan CA. Sialendoscopy with intraductal steroid irrigation in patients with sialadenitis without sialoliths. Ear Nose Throat J 2019; 98: 291-4. https://doi.org/10.1177/0145561319841207
  18. Chen YC, Dang LH, Chen LC, Chang CC, Han DY, Hsu CH, et al. Office-based salivary gland ductal irrigation in patients with chronic sialoadenitis: a preliminary study. J Formos Med Assoc 2021; 120: 318-26. https://doi.org/10.1016/j.jfma.2020.10.004
  19. Brito-Zeron P, Baldini C, Bootsma H, Bowman SJ, Jonsson R, Mariette X, et al. Sjogren syndrome. Nat Rev Dis Primers 2016; 2: 16047. https://doi.org/10.1038/nrdp.2016.47
  20. Jonsson R, Kroneld U, Backman K, Magnusson B, Tarkowski A. Progression of sialadenitis in Sjogren's syndrome. Br J Rheumatol 1993; 32: 578-81. https://doi.org/10.1093/rheumatology/32.7.578