Skip to main content

Advertisement

SpringerLink
Log in

Sialendoscopic Approach in Management of Juvenile Recurrent Parotitis

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To assess the role of sialendoscopy as a diagnostic and therapeutic modality in juvenile recurrent parotitis. Juvenile recurrent parotitis (JRP) is the second most frequent salivary gland disease in childhood and is characterized by recurrent non suppurative and non obstructive parotid inflammation. These attacks influence the quality of life and can even lead to gland destruction, and there are no definitive treatment to avoid them. Sialendoscopic dilatation is emerging as the new treatment modality in this aspect. Study design: retrospective study. Study setting: Department of Otorhinolaryngology in tertiary care hospital. 17 cases of juvenile recurrent parotitis (i.e. children of age group 3–11 years presenting with complaints of recurrent parotid region swelling and pain, sometimes associated with fever) were included in the study during October 2012–September 2015. All cases underwent sialendoscopy under general anaesthesia. Diagnostic (classifying the ductal lesion) and interventional sialendoscopic procedure (dilatation with instillation of steroid) were carried out in single sitting. Follow up was done for a minimum of 6 months (range 6–36 months). 17 patients with mean age of 5.6 years and gender distribution of 47:53 (boys:girls) underwent sialendoscopy for JRP. 8 patients presented with unilateral parotitis and 9 with bilateral. The mean number of attacks in previous 1 year were 9.2. Average time for procedure was 20 min. All cases had ductal stenosis and ductal mucosa was pale in 15 cases on endoscopy. 1 patient underwent repeat endoscopy after 2 years. 50% had complete resolution of symptoms and 6 patients had one mild (swelling not associated with fever which subsided on its own) attack after treatment. Follow up period ranged from 6 months to 3 years. No complications were observed. Sialendoscopy has emerged as a viable option for assessment and treatment of JRP. Dilatation of the parotid duct and steroid instillation has significantly reduced the morbidity of this condition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Ried E, Douglas F, Crow Y, Hollman A, Gibson J (1998) Autosomal dominant juvenile recurrent parotitis. J Med Genet 35(5):417–419

    Article  Google Scholar 

  2. Leerdam CM, Martin HC, Isaacs D (2005) Recurrent parotitis of childhood. J Paediatr Child Health 41:631–634

    Article  CAS  PubMed  Google Scholar 

  3. Marchal F, Chossegros C, Faure F et al (2008) Salivary stones and stenosis. A comprehensive classification. Rev Stomatol Chir Maxillofac 109(4):233–236

    Article  CAS  PubMed  Google Scholar 

  4. Nahlieli O, Shacham R, Eliav E (2004) Juvenile recurrent parotitis: a new method of diagnosis and treatment. Paediatrics 114:9–12

    Article  Google Scholar 

  5. Quenin S, Plouin-Gaudon I, Marchal F, Froehlich P, Disant F, Faure F (2008) Juvenile recurrent parotitis: sialendoscopic approach. Arch Otolaryngol Head Neck Surg 134(7):715–719

    Article  PubMed  Google Scholar 

  6. Maynard JD (1965) Recurrent parotid enlargement. Br J Surg 52:784–789

    Article  CAS  PubMed  Google Scholar 

  7. Morales-Bozo I, Landaeta M, Urzúa-Orellana B, Retamales P (2008) Association between the occurrence of matrix metalloproteinases 2 and 9 in parotid saliva with the degree of parotid gland damage in juvenile recurrent parotitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106(3):377–383

    Article  PubMed  Google Scholar 

  8. Nozaki H, Harasawa A, Hara H, Kohno A, Shigeta A (1994) Ultrasonographic features of recurrent parotitis in childhood. Pediatr Radiol 24(2):98–100

    Article  CAS  PubMed  Google Scholar 

  9. Gary C, Kluka A, Schaitkin B, Walvekar R (2011) Interventional sialendoscopy for treatment of juvenile recurrent parotitis. J Indian Assoc Pediatr Surg 16(4):132–136

    Article  PubMed  PubMed Central  Google Scholar 

  10. Faure F, Querin S, Dulguerov P, Froehlich P, Disant F, Marchal F (2007) Pediatric salivary gland obstructive swelling: sialendoscopic approach. Laryngoscope 117(8):1364–1367

    Article  PubMed  Google Scholar 

  11. Shacham R, Droma EB, London D, Bar T, Nahlieli O (2009) Long-term experience with endoscopic diagnosis and treatment of juvenile recurrent parotitis. J Oral Maxillofac Surg 67(1):162–167

    Article  PubMed  Google Scholar 

  12. Canzi P, Occhini A, Pagella F, Marchal F, Benazzo M (2013) Sialendoscopy in juvenile recurrent parotitis: a review of the literature. Acta Otorhinolaryngol Ital 33(6):367–373

    CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India

    P. P. Singh, M. Goyal & A. Goyal

Authors
  1. P. P. Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Goyal
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Goyal
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Goyal.

Ethics declarations

Conflict of interest

All authors declare that he/she has no conflict of interest.

Ethical Approval

All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Human and Animal Rights

This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Singh, P.P., Goyal, M. & Goyal, A. Sialendoscopic Approach in Management of Juvenile Recurrent Parotitis. Indian J Otolaryngol Head Neck Surg 69, 453–458 (2017). https://doi.org/10.1007/s12070-017-1223-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-017-1223-1

Keywords

Search

Navigation