Long-term experience with endoscopic diagnosis and treatment of juvenile recurrent parotitis.
OBJECTIVE
Juvenile recurrent parotitis (JRP) is characterized by intermittent swelling of one or both parotid glands simultaneously or on different occasions. The peak incidence of JRP is between the ages of 3 and 6 years, with predominance among males. The etiology and mechanism are still unknown. The diagnosis is made on a clinical basis and is confirmed by ultrasonography or sialography. Our objective was to present our long-term experience with endoscopic diagnosis and treatment of JRP.


METHODS
In this clinical review we report our long-term experience in 70 children who were treated by a combined minimally invasive endoscopic method. Another 5 patients with adult-type JRP were included in the study.


RESULTS
In 93% of the patients a single treatment was enough to resolve this phenomenon and prevent its recurrence.


CONCLUSIONS
Sialoendoscopy and lavage of the parotid gland comprise the treatment of choice for JRP, achieving a high success rate with minimal morbidity.
Shacham
Rachel
R
Oral and Maxillofacial Surgery Department, Barzilai Medical Center, Ashkelon, Israel.
Droma
Eitan Bar
EB
London
Daniel
D
Bar
Tal
T
Nahlieli
Oded
O
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D015331:Cohort Studies; D003251:Constriction, Pathologic / Q000150:complications / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D005260:Female; D007839:Functional Laterality; D006801:Humans; D007223:Infant; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D010309:Parotitis / Q000175:diagnosis* / Q000601:surgery*; D012189:Retrospective Studies; D018987:Salivary Ducts / Q000473:pathology* / Q000601:surgery; D012469:Salivary Glands / Q000473:pathology* / Q000601:surgery; D055502:Secondary Prevention; D016896:Treatment Outcome; D055815:Young Adult