Sialoendoscopy for the treatment of pediatric salivary gland disorders.
OBJECTIVE
To show that sialoendoscopy is both a safe and effective alternative to traditional treatments for juvenile recurrent parotitis and sialolithiasis.


METHODS
Retrospective medical chart review.


METHODS
Two major pediatric tertiary care centers.


METHODS
Eighteen pediatric patients.


METHODS
A total of 33 sialendoscopic procedures on 27 glands.


METHODS
Indications for surgery, age at onset of symptoms, age at procedure, sex, intraoperative findings, complications, recurrences, need for additional procedures, and follow-up interval.


RESULTS
Juvenile recurrent parotitis was the most common indication for sialendoscopy (12 of 18) followed by sialolithiasis (4 of 18). Ten of 12 patients with juvenile recurrent parotitis were asymptomatic after 1 or 2 sialendoscopies (8 patients and 2 patients, respectively). There were 6 minor complications. Three patients ultimately required gland excision for disease management.


CONCLUSIONS
Sialoendscopy is safe and effective as a treatment for pediatric salivary gland disorders.
Department of Otolaryngology, University of Pittsburgh, Pittsburgh, PA, USA.
Alyssa M
AM
Hackett
Christopher F
CF
Baranano
Michael
M
Reed
Umamaheswar
U
Duvvuri
Richard J
RJ
Smith
Deepak
D
Mehta
D000293:Adolescent; D002648:Child; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010309:Parotitis / Q000175:diagnosis / Q000601:surgery*; D015494:Salivary Gland Calculi / Q000150:complications / Q000601:surgery*