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June 1979

Clinical Sialography,

Arch Otolaryngol. 1979;105(6):375. doi:10.1001/archotol.1979.00790180073021

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Dr Manashil has written a small, clinically oriented volume on sialography that covers the technique, the normal examination, and the examination in tumors and in nonneoplastic disease. The book is highly illustrated with more than 100 roentgenograms; some of these are of exceptionally good quality.

The section on technique is up to date and describes the currently available catheters that are modified specifically for sialography. The details on roentgenographic exposure and position are clear and straightforward.

Dr Manashil displays many roentgenograms that illustrate the difference between intrinsic and extrinsic masses. This differentiation is made largely on the basis of obstruction to emptying. Although he illustrates some characteristics of malignant tumors, he properly points out by example and word that one cannot discriminate benign from malignant tumors on the basis of sialography.

Dr Manashil quotes the 1968 national study on contrast media reactions, which would lead us to believe that

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