title: Pediatric sialendoscopy indications and outcomes.
abstract: OBJECTIVE
  Chronic sialadenitis can affect patients of all age ranges and typically presents as recurrent or chronic painful swelling of the salivary glands. In children, the most common cause of sialadenitis is juvenile recurrent parotitis. Salivary stones, or sialolithiasis, are a much less common cause. Historically, for patients with chronic sialadenitis who failed conservative management, salivary gland removal was the standard treatment option. Recently, however, sialendoscopy has emerged as an effective gland-preserving procedure for sialadenitis evaluation and treatment in adults and children. The aim of this review is to discuss pediatric sialadenitis evaluation and treatment, including sialendoscopy indications, technique, and outcomes.
  
  
  RESULTS
  Sialendoscopy is a well tolerated and effective treatment for sialadenitis Sialendoscopy and salivary duct irrigation have been shown to improve frequency and severity of sialadenitis episodes in patients with juvenile recurrent parotitis. Salivary stones are managed successfully with endoscopic and combined endoscopic-assisted open approaches. Minimally invasive approaches with sialendoscopy have improved the ability to preserve salivary glands in patients with recurrent sialadenitis.
  
  
  CONCLUSIONS
  Sialendoscopy is a well tolerated and effective procedure for recurrent sialadenitis in children.
authors.affiliation: aDepartment of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine in St. Louis, St. Louis, Missouri bDepartment of Otolaryngology, Head and Neck Surgery, University of California, San Francisco, California, USA.
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Ogden
authors.forename: Kristina W
authors.initials: KW
authors.lastname: Rosbe
authors.forename: Jolie L
authors.initials: JL
authors.lastname: Chang
mesh_terms: D002648:Child; D004724:Endoscopy; D006801:Humans; D011182:Postoperative Care; D011183:Postoperative Complications; D015494:Salivary Gland Calculi / Q000175:diagnosis* / Q000601:surgery*; D012793:Sialadenitis / Q000175:diagnosis* / Q000601:surgery*