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Sialendoscopy for pediatric salivary gland disorders: a study of safety and effect

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Abstract

Purpose

Sialendoscopy has become the preferred modality for managing pediatric salivary gland disorders (PSGD) including juvenile recurrent parotitis (JRP) and sialolithiasis. The literature remains sparse, but several case series have reported good outcomes and few complications. The aim of this study was to investigate the safety and efficacy of sialendoscopy for PSGD in a Danish setting.

Methods

From a national sialendoscopy database, we included records of children who had undergone sialendoscopy for PSGD at our clinic over a 6-year period. Clinical and intraoperative data, follow-up and e-mail surveys after 1, 3 and 5 years were retrieved for analysis.

Results

We included 52 procedures on 50 glands (32 parotid, 18 submandibular) in 49 children. Of eligible patients, 90% attended clinical follow-up, 80% answered the survey after 1 year, 80% after 3 years and 60% after 5 years. JRP was diagnosed in 33 cases, obstructive causes in 18 cases. Complications noted were ductal perforation (2%), transient lingual nerve affection (4%) and infection (2%). For JRP patients, overall symptoms had improved for 96% after 3 months, 81% after 1 year and 83% after 3 years. For patients suffering from obstruction, overall symptoms were improved for 93% after 3 months and for 100% after 1 year.

Conclusion

Sialendoscopy is a safe procedure for PSGD, and effective for sialolithiasis and symptom reduction in JRP.

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Availability of data and materials

The datasets generated and analysed during the current study are not publicly available due to them containing patient related data, but are available from the corresponding author upon reasonable request.

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Acknowledgements

The authors would like to thank OPEN, Open Patient data Explorative Network, Odense University Hospital, Region of Southern Denmark for providing tools to help with data collection, storage and survey distribution using the OPEN REDCap facility.

Funding

No grant or other economic support was obtained for this study.

Author information

Authors and Affiliations

  1. Department of Ear, Nose, and Throat, Nordsjællands Hospital, Hillerød, Denmark

    Mads S. Liljekvist, Jakob Foghsgaard & Michael F. Howitz

Authors
  1. Mads S. Liljekvist
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  2. Jakob Foghsgaard
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  3. Michael F. Howitz
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Contributions

All authors contributed to the study conception and design. Data collection were performed by JF and MFH. Data analyses were performed by MSL. The first draft of the manuscript was written by MSL and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mads S. Liljekvist.

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Conflict of interest

The authors have no financial or non-financial conflicts of interest to disclose.

Ethical approval

This study was approved by the Danish Data Protection Agency on July 6th, 2015—registration number 2008-58-0035. Informed consent was obtained from all individual participants, or their parents, included in the study. No approval by local or national ethics committees was required to conduct this study.

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Liljekvist, M.S., Foghsgaard, J. & Howitz, M.F. Sialendoscopy for pediatric salivary gland disorders: a study of safety and effect. Eur Arch Otorhinolaryngol 280, 1927–1937 (2023). https://doi.org/10.1007/s00405-022-07747-3

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  • DOI: https://doi.org/10.1007/s00405-022-07747-3

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