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Utility of sialendoscopy in the management of juvenile recurrent parotitis. Retrospective study
Maider Andueza Guembe1, Carlos Miguel Chiesa Estomba1, Carlos Saga Gutiérrez1
1Servicio de Otorrinolaringología, Hospital Universitario Donostia, San Sebastián, Guipúzcoa, Spain.
Insights
Sialendoscopy significantly reduces episodes of juvenile recurrent parotitis (JRP). This study found that JRP patients treated with sialendoscopy experienced fewer inflammatory episodes compared to conservative management.
Area of Science:
- Pediatric Otolaryngology
- Sialendoscopy Techniques
- Inflammatory Salivary Gland Diseases
Background:
- Juvenile recurrent parotitis (JRP) is a rare childhood condition causing repeated parotid gland inflammation.
- Characterized by unilateral or bilateral episodes during childhood, JRP impacts salivary gland function.
- Understanding effective JRP treatments is crucial for pediatric care.
Purpose of the Study:
- To evaluate the efficacy of medical treatment versus sialendoscopy for JRP.
- To assess outcomes in children diagnosed with JRP between 2010 and 2020.
- To determine the effectiveness of minimally invasive sialendoscopy in managing JRP.
Main Methods:
- Retrospective analysis of 48 JRP patients treated at a tertiary hospital (2010-2020).
- Comparison of outcomes between conservative management (n=34) and sialendoscopy (n=14).
- Evaluation of episode frequency, reintervention rates, and symptom resolution post-treatment.
Main Results:
- Sialendoscopy patients (n=14) showed a statistically significant reduction in JRP episodes (mean 1 post-intervention vs. 5 pre-treatment).
- Conservative management (n=34) resulted in a mean of 5 episodes until resolution.
- Sialendoscopy demonstrated 100% diagnostic consistency with JRP, with only 12% requiring reintervention.
Conclusions:
- Sialendoscopy is an effective treatment option for juvenile recurrent parotitis.
- Minimally invasive sialendoscopy offers a significant reduction in JRP episodes.
- Further comparative studies are needed to validate sialendoscopy against alternative JRP therapies.
Introduction:
Juvenile recurrent parotitis is a rare disease characterized by repeated episodes of inflammation affecting, unilaterally or bilaterally, the parotid glands during childhood.
Material And Methods:
Retrospective study including patients diagnosed with juvenile recurrent parotitis between January 2010 and September 2020 at a tertiary level hospital, with the aim of evaluating the results of medical treatment and sialendoscopy.
Results:
A total of 48 patients met the inclusion criteria and had a mean follow-up of 4 years (SD = 3; Min: 2/Max: 12). Regarding treatment, 34 (70.8%) patients received conservative treatment and had a mean of 5 episodes (SD = 3; Min: 2/Max: 13) until symptom resolution. Meanwhile, 14 (29.2%) patients underwent sialendoscopy, of which two (12%) required reintervention. In 100% (14) of the patients treated with sialendoscopy, the findings were consistent with JRP and, after sialendoscopy, a statistically significant reduction in episodes was observed, with a mean of 1 post-intervention episode (SD = 1.5; Min:0/Max: 6) (P < .001).
Conclusions:
The results obtained in this study suggest that sialendoscopy is a useful tool in the treatment of juvenile recurrent parotitis. However, new studies comparing the results of sialendoscopy with other therapeutic alternatives are necessary.
