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Pediatric sialolithiasis
O Nahlieli1, E Eliav, O Hasson
1Oral and Maxillofacial Surgery Department, Barzilai Medical Center, Ashkelon, Israel. nahlieli@yahoo.com
Summary
Pediatric sialolithiasis, a rare salivary stone condition in children, predominantly affects boys and the submandibular gland. Imaging and sialoendoscopy aid diagnosis and treatment.
Area of Science:
- Pediatric Otolaryngology
- Salivary Gland Disorders
- Medical Imaging
Background:
- Pediatric sialolithiasis is an uncommon condition involving salivary stones in children.
- It often presents with localized swelling and pain, particularly during meals.
Purpose of the Study:
- To characterize the clinical presentation, diagnosis, and management of pediatric sialolithiasis.
- To evaluate the effectiveness of various diagnostic modalities, including sialoendoscopy.
Main Methods:
- Retrospective analysis of 15 pediatric cases (ages 5-14).
- Diagnostic tools included routine radiography, ultrasound, sialography, and sialoendoscopy.
- Sialoendoscopy was utilized for both diagnosis and treatment.
Main Results:
- The study identified 15 cases of pediatric sialolithiasis.
- Thirteen patients were male (13/15), and 12 cases involved the submandibular gland (12/15).
- Imaging methods achieved a 67% diagnosis rate, with clinical examination diagnosing the remainder.
Conclusions:
- Pediatric sialolithiasis is rare, with a predilection for male children and the submandibular gland.
- A combination of imaging techniques and sialoendoscopy is effective for diagnosing and managing this condition.