Infantile recurrent parotitis: follow up study of five cases and literature review.
Recurrent parotitis (RP) is defined as recurrent parotid inflammation, generally associated with non-obstructive sialectasis of the parotid gland. It is a rare condition, and its etiology remains an enigma.


OBJECTIVE
The purposes of the present study were (1) to relate the follow up of five RP cases; (2) to examine the role of sialography and ultrasound in diagnosis and follow up; and (3) to make a literature review.


METHODS
Series review.


METHODS
We reviewed all recurrent parotitis cases from the files of the Otolaryngology Division at University of Sao Paulo, Brazil. The criteria for inclusion were at least two years of evolution and more than one year and a half follow-up in our service. We included five children in the study. Sialography was performed in the first evaluation and sonography was executed annually. Recurrent parotitis showed male predominance, and affected mainly children between the ages of 3 and 6. Frequency of crisis improved with time in all cases. Sialography showed sialectasis aspect in the affected glands and sonographic exams demonstrated hypoechoic and heterogeneous internal echoes. One case showed regression of ultrasound changes after clinical improvement.
Miziara
Ivan Dieb
ID
Department of Ophthalmology and Otorhinolaryngology, Medical School, USP. miz@uol.com.br
Campelo
Victor Eulalio Sousa
VE
D000293:Adolescent; D000367:Age Factors; D002648:Child; D006801:Humans; D008297:Male; D010309:Parotitis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D012008:Recurrence; D012737:Sex Factors; D012796:Sialography; D014463:Ultrasonography