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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

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|December 13, 2000
PubMed
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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.

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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.