Advertisement

Pediatric Radiology

, Volume 40, Issue 8, pp 1405–1410 | Cite as

MRI and MR sialography of juvenile recurrent parotitis

  • Ankur Gadodia
  • Ashu SeithEmail author
  • Raju Sharma
  • Alok Thakar
Original Article

Abstract

Background

Juvenile recurrent parotitis (JRP) is the second most common inflammatory salivary gland disease of childhood, after mumps. Diagnosis of JRP is usually based on clinical history of recurrent unilateral or bilateral parotid swelling and demonstration of sialectasis. Conventional sialography, digital sialography, US, MRI and sialoendoscopy have been used as investigative tools for the diagnosis of JRP. MR sialography is increasingly recognized as a useful supplement to sialography in salivary duct disorders.

Objective

To describe the MRI and MR sialographic findings in children with JRP.

Materials and methods

MR Sialography was performed using T2-weighted three-dimensional constructive interference in steady-state (CISS) and half fourier acquisition single-shot turbo spin-echo (HASTE) sequences in 62 children with inflammatory salivary gland disease. Out of these 62 children, 6 had JRP. Axial T1- and T2-W images were also performed.

Results

The main parotid duct was normal in all six children with JRP. High signal intensity focal lesions suggestive of sialectasis were seen involving both parotid glands in all six children. CISS sequence demonstrated the intraglandular ducts and sialectasis better than HASTE images.

Conclusion

MRI and MR sialography can non-invasively delineate the parenchymal and ductal system abnormalities of the parotid glands in children with JRP. Although MR and MR sialography cannot substitute US, they can accurately depict findings such as sialectasis and signal intensity changes in the parotid gland depending upon the phase of the disease (acute vs. chronic inflammation). The radiologist should be familiar with MR findings of JRP.

Keywords

Parotitis Salivary glands MRI Sialography Child 

References

  1. 1.
    Kaban LB, Mulliken JB, Murray JE (1978) Sialadenitis in childhood. Am J Surg 135:570–576CrossRefPubMedGoogle Scholar
  2. 2.
    Geterud A, Lindvall AM, Nylén O (1988) Follow-up study of recurrent parotitis in children. Ann Otol Rhinol Laryngol 97:341–346PubMedGoogle Scholar
  3. 3.
    Konno A, Ito E (1979) A study on the pathogenesis of recurrent parotitis in childhood. Ann Otol Rhinol Laryngol Suppl 88:1–20PubMedGoogle Scholar
  4. 4.
    Chitre VV, Premchandra DJ (1977) Recurrent parotitis. Arch Dis Child 77:359–363CrossRefGoogle Scholar
  5. 5.
    Fazekas T, Wiesbauer P, Schroth B et al (2005) Selective IgA deficiency in children with recurrent parotitis of childhood. Pediatr Infect Dis J 24:461–462CrossRefPubMedGoogle Scholar
  6. 6.
    Bernkopf E, Colleselli P, Broia V et al (2008) Is recurrent parotitis in childhood still an enigma? A pilot experience. Acta Paediatr 97:478–482CrossRefPubMedGoogle Scholar
  7. 7.
    Ericson S, Zetterlund B, Ohman J (1991) Recurrent parotitis and sialectasis in childhood. Clinical, radiologic, immunologic, bacteriologic, and histologic study. Ann Otol Rhinol Laryngol 100:527–535PubMedGoogle Scholar
  8. 8.
    Rubaltelli L, Sponga T, Candiani F et al (1987) Infantile recurrent sialectatic parotitis: the role of sonography and sialography in diagnosis and follow-up. Br J Radiol 60:1211–1214CrossRefPubMedGoogle Scholar
  9. 9.
    Nozaki H, Harasawa A, Hara H et al (1994) Ultrasonographic features of recurrent parotitis in childhood. Pediatr Radiol 24:98–100CrossRefPubMedGoogle Scholar
  10. 10.
    Encina S, Ernst P, Villanueva J et al (1996) Ultrasonography: a complement to sialography in recurrent chronic childhood parotitis. Rev Stomatol Chir Maxillofac 97:258–263PubMedGoogle Scholar
  11. 11.
    Shimizu M, Ussmüller J, Donath K et al (1988) Sonographic analysis of recurrent parotitis in children: a comparative study with sialographic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:606–615CrossRefGoogle Scholar
  12. 12.
    Sitheeque M, Sivachandran Y, Varathan V et al (2007) Juvenile recurrent parotitis: clinical, sialographic and ultrasonographic features. Int J Paediatr Dent 17:98–104CrossRefPubMedGoogle Scholar
  13. 13.
    Huisman TA, Holzmann D, Nadal D (2001) MRI of chronic recurrent parotitis in childhood. J Comput Assist Tomogr 25:269–273CrossRefPubMedGoogle Scholar
  14. 14.
    Varghese JC, Thornton F, Lucey BC et al (1999) A prospective comparative study of MR sialography and conventional sialography of salivary duct diseases. AJR 173:1497–1503PubMedGoogle Scholar
  15. 15.
    Kalinowski M, Heverhagen JT, Rehberg E et al (2002) Comparative study of MR Sialography and digital subtraction sialography for benign salivary gland disorders. AJNR 23:1485–1492PubMedGoogle Scholar
  16. 16.
    Mandel L, Bijoor R (2006) Imaging (computed tomography, magnetic resonance imaging, ultrasound, sialography) in a case of recurrent parotitis in children. J Oral Maxillofac Surg 64:984–988CrossRefPubMedGoogle Scholar
  17. 17.
    Wittekindt C, Jungehülsing M, Fischbach R et al (2000) Chronic recurrent parotitis in childhood in monozygotic twins. Magnetic resonance sialography. HNO 48:221–225CrossRefPubMedGoogle Scholar
  18. 18.
    Menauer F, Jäger L, Leunig A et al (1999) Role of diagnostic imaging in chronic recurrent parotitis in childhood. Laryngorhinootologie 78:497–499CrossRefPubMedGoogle Scholar
  19. 19.
    Camita BM (2004) Lymphadenopathy. In: Behrman RE, Kliegman RM, Jenson HB (eds) Nelson textbook of pediatrics, 17th edn. Saunders, Philadelphia, pp 1677–1678Google Scholar
  20. 20.
    Restrepo R, Oneto J, Lopez K et al (2009) Head and neck lymph nodes in children: the spectrum from normal to abnormal. Pediatr Radiol 39:836–846CrossRefPubMedGoogle Scholar
  21. 21.
    Donnelly LF, Casper KA, Chen B (2002) Correlation on cine MR imaging of size of adenoid and palatine tonsils with degree of upper airway motion in asymptomatic sedated children. AJR 179:503–508PubMedGoogle Scholar
  22. 22.
    Rubin P, Holt JF (1957) Secretory sialography in diseases of the major salivary glands. AJR 77:575–598Google Scholar
  23. 23.
    Shacham R, Droma EB, London D et al (2009) Long-term experience with endoscopic diagnosis and treatment of juvenile recurrent parotitis. J Oral Maxillofac Surg 67:162–167CrossRefPubMedGoogle Scholar
  24. 24.
    Patel A, Karlis V (2009) Diagnosis and management of pediatric salivary gland infections. Oral Maxillofac Surg Clin North Am 21:345–352CrossRefPubMedGoogle Scholar
  25. 25.
    Schreiber A, Hershman G (2009) Non-HIV viral infections of the salivary glands. Oral Maxillofac Surg Clin North Am 21:331–338CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Ankur Gadodia
    • 1
  • Ashu Seith
    • 1
    Email author
  • Raju Sharma
    • 1
  • Alok Thakar
    • 2
  1. 1.Department of RadiodiagnosisAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of OtorhinolaryngologyAll India Institute of Medical SciencesNew DelhiIndia

Personalised recommendations