Management of chronic parotitis: a review

Abstract

Chronic parotitis is an insidious inflammatory disorder, which is characterized by a recurrent, often painful, swelling of the gland or glands. Sialography remains the investigation of choice. Diagnostic siladenoscopy may complement or supersede sialography as the diagnostic procedure of choice, as more experience is gained in this technique and its use becomes more widespread. The management options are conservative or surgical, but controversy exists regarding the timing and method of surgical intervention. The surgical methods that have been described include injection of methyl violet - a sclerosing agent, ductal ligation, ductoplasty, tympanic neurectomy, and parotidectomy. Parotidectomy is considered the ultimate surgical option but because of its significant morbidity the exact technique and procedure that should be used remains contentious.

Sialendoscopy in children

“…Tympanic neurectomy has been criticized from an anatomical perspective because parasympathetic stimulation can reach the parotid gland from other routes [14]. The rate of resolution of symptoms following tympanic neurectomy varies widely, but averages 75% success rate [4]. However, it does involve an invasive procedure with risks to vital middle ear structures.…”

“…For recurrent salivary gland inflammation, several strategies have been suggested for reducing repeated attacks, including prophylactic antibiotics, duct ligation, gland excision, tympanic neurectomy, and more recently sialendoscopy [2][3][4].…”

Pediatric sialendoscopy under local anesthesia: Limitations and potentials

“…Numerous options have been suggested for the treatment of recurrent salivary gland swellings, including prophylactic antibiotics, duct ligation, gland excision, tympanic neurectomy, and sialendoscopy [8,9]. As a minimal invasive technique, sialendoscopy in adults decreased hospital stay, unnecessary anesthesias and open procedures.…”

Parotiditis crónica recurrente infantil: una revisión actualizada de la literatura

“…Como efectos secundarios, se relata la inflamación de la glándula durante algunas semanas. No obstante, es importante mencionar que estos estudios fueron realizados principalmente en adultos [46][47][48] . Sin embargo, en un estudio chileno realizado por Arregui et al se relata el caso de una niña de cuatro años que recibió este tratamiento, en la cual no hubo ningún episodio de parotiditis en un seguimiento de cinco meses.…”