Modern management of juvenile recurrent parotitis

Capaccio, Pasquale; Sigismund, Paolo Enrico; Luca, Nicola De; Marchisio, Paola; Pignataro, Lorenzo

doi:10.1017/s0022215112002319

Cited by 56 publications

(50 citation statements)

References 38 publications

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“…Other endoscopic findings were ductal stenoses (single and multiple), mucous plugs, debris accumulation, and dilations. [7][8][9] As for remission rate recurrent inflammation after the procedure, the rates found by Ardeklan et al 4 were 86% at 6 months of follow-up, including 50 patients; Capaccio et al 7 found 65% of remission after 30 months, with 14 patients treated with SE; and Shacham et al 6 showed a 93% remission rate, with a follow-up of 6 to 36 months after treatment, and 65 patients treated surgically. The authors show consensus to conclude that SE is an effective and safe technique in the diagnosis and treatment of IRP and that SE probably acts on the anatomy and physiology of the duct.…”

Section: Resultsmentioning

confidence: 99%

“…As a result of the passing of the device and the irrigation and flushing of the ducts, many of the abnormalities related to the IRP, such as stenoses, debris, and mucus plugs, are eventually resolved by improving the drainage as well as the prognosis and viability of the gland in the medium and long term. 4,[6][7][8] In the studies accessed for purposes of this review, 22 cases of children with sialolithiasis (SL) were described. Of these, 20 patients underwent ultrasound investigation (USG) prior to SE.…”

Section: Resultsmentioning

confidence: 99%

“…5 The diagnosis of IRP is based on clinical criteria and can be complemented by ultrasound and sialography. 2,7 Although considered a benign and often self-limiting disease, some authors have observed that some of the patients diagnosed with IRP maintained inflammatory conditions into adulthood. In these cases, the long period of recurrent inflammation since childhood can cause irreversible glandular abnormalities.…”

Section: Figurementioning

confidence: 99%

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Salivary gland endoscopy in children: A systematic review

Silva¹,

Babicsak²,

Dolci³

2016

Rev. Assoc. Med. Bras.

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introduction Recurrent inflammatory diseases of the major salivary glands that occur in childhood and adolescence, for the most part, do not have a defined etiology. Usually, when there is simultaneous involvement of two or more glands, etiopathogenic hypotheses end up being related to autoimmune or genetic factors. 1 However, when repeated inflammation affects only one of the glands, obstructive factors such as stenosis, malformation, and ductal obstruction by calculus and/or debris are a more likely diagnostic hypotheses. 2 Given the difficulty of the etiologic diagnosis, despite the different methods available, the treatment ends up being in large part directed to symptomatic relief. 1 Sialendoscopy (SE) is a relatively new method for diagnostic and therapeutic approach to salivary gland disorders in children, initially proposed in 1997. 3 Various infections of major salivary glands, both in adults and children have been diagnosed and treated by SE. 2 Using an endoscope inserted through the papilla of the affected gland, a direct view of the ductal system is obtained. Although the main objective of SE is to evaluate the anatomic integrity of the salivary ducts, it is possible to act therapeutically in certain cases during the examination procedure preserving the gland and restoring its function. 1,2 SE is a procedure considered minimally invasive, safe, and shows low complication rates. It is indicated as an alternative to open surgery. 4 Even though the technique has been proposed years ago, its indication for the treatment of children is recent. The development of more sensitive instruments has enabled the transfer of skills and experience obtained in procedures performed in adults to pediatric patients. Objective: To review studies on sialendoscopy (SE) of the salivary glands in children focusing mainly on the indications, endoscopic findings, and effectiveness of the procedure. Method: The electronic databases searched were Pubmed, Scielo, and Cochrane. The search was conducted by two researchers independently, following inclusion and exclusion criteria. A third author analyzed sources of conflict. In the first stage they were discarded by reading the articles title that had no relation to the purpose of the study and then evaluated the abstracts of each study. In these two initial phases 37 articles were excluded. Articles not excluded by the selection criteria have been retrieved and assessed in full. Seven articles had their data extracted and were compared. Results: The literature search parameters listed allowed the recovery of 44 articles. After applying the exclusion criteria, seven studies were included in this review representing 207 patients undergoing with ages ranging from 1 to 16 years. All studies except one underwent SE under general anesthesia. The juvenile recurrent parotitis was the main clinical diagnosis related with SE procedures (N=152). The number of inflammatory attacks per patient per year was the parameter for indication of SE. The efficacy of the procedure was considered high by...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

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Salivary gland endoscopy in children: A systematic review

Silva¹,

Babicsak²,

Dolci³

2016

Rev. Assoc. Med. Bras.

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“…Se presenta en un amplio rango de edad, que va desde los 3 meses 7,11 hasta los 16 años 1,2,7,10,11,13 . El inicio de los signos y síntomas, se muestra una distribución bimodal: entre los 3-6 años [1][2][3][4]7,11,13,[16][17][18] , y otro a los 10 años 5,8 .…”

Section: Definición Y Epidemiologíaunclassified

“…La PCRI es una enfermedad benigna de las glán-dulas parótidas y la segunda patología más común de glándulas salivales en niños, después de la parotiditis viral [1][2][3][4][5][6][7][8] . Su prevalencia es desconocida 2,8 .…”

Section: Definición Y Epidemiologíaunclassified

Parotiditis crónica recurrente infantil: una revisión actualizada de la literatura

Donoso-Hofer

Diaz

Cárdenas

et al. 2017

Rev. chil. pediatr.

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Palabras clave:Parotiditis recurrente infantil, glándulas parótidas ResumenIntroducción: La parotiditis crónica recurrente infantil (PCRI) es una patología relevante. Su diagnóstico es principalmente clínico, pero se apoya en exámenes imagenológicos. El enfoque actual del tratamiento es diverso. El objetivo es realizar una revisión actualizada sobre las características clí-nicas, exámenes complementarios, modelos etiopatogénicos y protocolos terapéuticos. Material y Método: Se realizó una búsqueda bibliográfica en PUBMED utilizando los términos libres y términos MESH: PCRI, parotiditis recurrente, parotiditis crónica y parotiditis. Los filtros utilizados fueron pacientes humanos, hasta 18 años, con resumen. En el buscador Scielo se incluyeron los términos libes Parotiditis y crónica. Se incluyeron artículos publicados en idiomas inglés, español o portugués hasta el año 2017. Resultados: En el buscador PUBMED se encontraron 119 artículos de los cuales sólo se incluyeron 44. La exclusión de los artículos restantes se debió a idioma, acceso al artículo o ausencia de relación entre el artículo y la revisión propuesta. En el buscador Scielo se encontraron 6 artículos de los cuales 5 fueron seleccionados. La evaluación multidisciplinaria permite el tratamiento oportuno. Su diagnóstico es clínico pero se apoya en exámenes imagenológicos, como la ecografía y la sialografía. Conclusiones: El enfoque actual de tratamiento es conservador, y la mejor evidencia disponible apoya el uso de sialendoscopia con irrigación y administración de antibióticos y/o corticoides vía conducto parotídeo, sin embargo, existirían buenos resultados con lavados intraglandulares con soluciones fisiológicas sin necesidad de sialendoscopio. 678 ARtíCULO dE REVISIÓn IntroducciónAún existen patologías con etiopatogenia desconocida en donde se aplican tratamientos basados en un modelo etiopatogénico, sintomático o en la experiencia clínica. La parotiditis crónica recurrente infantil (PCRI) se enmarca en este contexto. La parotidomegalia es una de sus características clínicas más conservadas, y es común a otras patologías de la glándula parótida y manifestaciones de enfermedades sistémicas, por lo que el diagnóstico diferencial es mandatorio. El objetivo de este trabajo es realizar una revisión bibliográfica actualizada sobre las características clínicas más importantes de PCRI, exámenes complementarios para el diagnóstico y exponer modelos etiopatogénicos y protocolos terapéuticos, haciendo hincapié en la mirada que el odontólogo tiene de esta patología.Se realizó una búsqueda bibliográfica en PUBMED utilizando los términos libres y términos MESH: PCRI, parotiditis recurrente, parotiditis crónica y parotiditis. Los filtros utilizados fueron pacientes humanos, hasta 18 años y artículos con resumen. En el buscador Scielo se incluyeron los términos libres Parotiditis y crónica. En ambos buscadores se incluyeron artículos publicados en idiomas inglés, español o portugués hasta el año 2017. En el buscador PUBMED se encontraron 119 artículos de los cuales ...

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Treatment of Juvenile Recurrent Parotitis of Childhood

Roby

Mattingly

Jensen

et al. 2015

JAMA Otolaryngol Head Neck Surg

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Current literature shows sialendoscopy with corticosteroid application is successful in treating JRP, but it is unclear whether corticosteroid application alone would treat JRP equally. This study shows that DCI alone has similar results as sialendoscopy with corticosteroid application, indicating that it is the corticosteroid application and not the sialendoscopy causing improvement in symptoms. Because JRP must be differentiated from sialolithiasis, we recommend ultrasonography of the involved parotid(s) prior to using DCI alone to ensure no stone is present. Sialendoscopy should be reserved to rule out other parotid ductal pathologic conditions.

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Modern management of juvenile recurrent parotitis

Cited by 56 publications

References 38 publications

Salivary gland endoscopy in children: A systematic review

Salivary gland endoscopy in children: A systematic review

Parotiditis crónica recurrente infantil: una revisión actualizada de la literatura

Treatment of Juvenile Recurrent Parotitis of Childhood

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