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[Chronic recurrent parotitis in childhood]
1Hals-Nasen-Ohrenklinik und Poliklinik der Ludwig-Maximilians-Universität München Klinikum.
Insights
Juvenile recurrent parotitis (JRP) is a childhood salivary gland condition. It typically resolves by puberty, with various theories on its cause and management options discussed.
Area of Science:
- Pediatric Otolaryngology
- Salivary Gland Disorders
- Immunology
Context:
- Juvenile recurrent parotitis (JRP) affects children aged 2-15.
- Distinguished from adult forms by disease course, treatment, and prognosis.
- Male to female ratio observed at 1.5:1.
Purpose:
- To review pathogenic theories of JRP.
- To discuss diagnostic procedures for JRP.
- To outline therapeutic considerations for JRP.
Summary:
- Etiologies include glandular duct malformations (stenosis, ectasis), functional salivary factors, viral infections, allergies, immune immaturity, and family history.
- Diagnostic evaluation relies on patient history of recurrent parotid swelling, supplemented by ultrasonography, sialography, and MRI.
- Treatment involves antibiotics for acute stages and parotidectomy for severe cases; radiotherapy is contraindicated due to side effects.
Impact:
- Provides a comprehensive overview of JRP for clinicians and researchers.
- Highlights the importance of accurate diagnosis and tailored treatment strategies.
- Informs understanding of JRP's natural history, often resolving by puberty.
Abstract:
Juvenile recurrent parotitis (j.r.p.) is distinguished from the adult form by the course of the disease, therapeutic considerations and prognosis. Children suffering from j.r.p. are between 2 and 15 years of age; the male: female ratio is 1.5:1. In the present paper the author describes the different pathogenic theories of j.r.p. in accordance with the relevant literature. Besides malformation of the glandular duct like stenosis and ectasis, functional factors like the character of salivary secretion are suspected as being responsible for the disease. Other authors assume that a viral genesis, allergic factors, a physiological immaturity of the immune response, or family history may be the causes. In the evaluation of children with j.r.p. the patients' history with recurrent swelling episodes of the parotid gland(s) followed by quiescent periods is indicative. Further procedures like ultrasonography, sialography and MRI are discussed according to their diagnostic value. Therapeutic possibilities include antibiotics in the acute stage of the disease as well as parotidectomy in severe cases. Radiotherapy cannot be recommended because of its side effects (facial dysplasia, tumour induction). In most cases, the disease ends at puberty.