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Modern management of paediatric obstructive salivary disorders: long-term clinical experience

Recent technological improvements in head and neck field have changed diagnostic and therapeutic strategies for salivary disorders. Diagnosis is now based on colour Doppler ultrasonography (US), magnetic resonance (MR) sialography and cone beam 3D computed tomography (CT), and extra- and intracorpor...

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Autores principales: Capaccio, P., Canzi, P., Gaffuri, M., Occhini, A., Benazzo, M., Ottaviani, F., Pignataro, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore SRL 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5463525/
https://www.ncbi.nlm.nih.gov/pubmed/28516980
http://dx.doi.org/10.14639/0392-100X-1607
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author Capaccio, P.
Canzi, P.
Gaffuri, M.
Occhini, A.
Benazzo, M.
Ottaviani, F.
Pignataro, L.
author_facet Capaccio, P.
Canzi, P.
Gaffuri, M.
Occhini, A.
Benazzo, M.
Ottaviani, F.
Pignataro, L.
author_sort Capaccio, P.
collection PubMed
description Recent technological improvements in head and neck field have changed diagnostic and therapeutic strategies for salivary disorders. Diagnosis is now based on colour Doppler ultrasonography (US), magnetic resonance (MR) sialography and cone beam 3D computed tomography (CT), and extra- and intracorporeal lithotripsy, interventional sialendscopy and sialendoscopy-assisted surgery are used as minimally invasive, conservative procedures for functional preservation of the affected gland. We evaluated the results of our long-term experience in the management of paediatric obstructive salivary disorders. The study involved a consecutive series of 66 children (38 females) whose obstructive salivary symptoms caused by juvenile recurrent parotitis (JRP) (n = 32), stones (n = 20), ranula (n = 9) and ductal stenosis (n = 5). 45 patients underwent interventional sialendoscopy for JRP, stones and stenoses, 12 a cycle of extracorporeal shockwave lithotripsy (ESWL), three sialendoscopy-assisted transoral surgery, one drainage, six marsupialisation, and two suturing of a ranula. Three children underwent combined ESWL and interventional sialendoscopy, and seven a secondary procedure. An overall successful result was obtained in 90.9% of cases. None of the patients underwent traditional invasive sialadenectomy notwithstanding persistence of mild obstructive symptoms in six patients. No major complications were observed. Using a diagnostic work-up based on colour Doppler US, MR sialography and cone beam 3D TC, children with obstructive salivary disorders can be effectively treated in a modern minimally-invasive manner by extracorporeal and intracorporeal lithotripsy, interventional sialendoscopy and sialendoscopy-assisted transoral surgery; this approach guarantees a successful result in most patients, thus avoiding the need for invasive sialadenectomy while functionally preserving the gland.
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spelling pubmed-54635252017-06-14 Modern management of paediatric obstructive salivary disorders: long-term clinical experience Capaccio, P. Canzi, P. Gaffuri, M. Occhini, A. Benazzo, M. Ottaviani, F. Pignataro, L. Acta Otorhinolaryngol Ital Review Recent technological improvements in head and neck field have changed diagnostic and therapeutic strategies for salivary disorders. Diagnosis is now based on colour Doppler ultrasonography (US), magnetic resonance (MR) sialography and cone beam 3D computed tomography (CT), and extra- and intracorporeal lithotripsy, interventional sialendscopy and sialendoscopy-assisted surgery are used as minimally invasive, conservative procedures for functional preservation of the affected gland. We evaluated the results of our long-term experience in the management of paediatric obstructive salivary disorders. The study involved a consecutive series of 66 children (38 females) whose obstructive salivary symptoms caused by juvenile recurrent parotitis (JRP) (n = 32), stones (n = 20), ranula (n = 9) and ductal stenosis (n = 5). 45 patients underwent interventional sialendoscopy for JRP, stones and stenoses, 12 a cycle of extracorporeal shockwave lithotripsy (ESWL), three sialendoscopy-assisted transoral surgery, one drainage, six marsupialisation, and two suturing of a ranula. Three children underwent combined ESWL and interventional sialendoscopy, and seven a secondary procedure. An overall successful result was obtained in 90.9% of cases. None of the patients underwent traditional invasive sialadenectomy notwithstanding persistence of mild obstructive symptoms in six patients. No major complications were observed. Using a diagnostic work-up based on colour Doppler US, MR sialography and cone beam 3D TC, children with obstructive salivary disorders can be effectively treated in a modern minimally-invasive manner by extracorporeal and intracorporeal lithotripsy, interventional sialendoscopy and sialendoscopy-assisted transoral surgery; this approach guarantees a successful result in most patients, thus avoiding the need for invasive sialadenectomy while functionally preserving the gland. Pacini Editore SRL 2017-04 /pmc/articles/PMC5463525/ /pubmed/28516980 http://dx.doi.org/10.14639/0392-100X-1607 Text en © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale, Rome, Italy http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License, which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way. For details, please refer to http://creativecommons.org/licenses/by-nc-nd/3.0/
spellingShingle Review
Capaccio, P.
Canzi, P.
Gaffuri, M.
Occhini, A.
Benazzo, M.
Ottaviani, F.
Pignataro, L.
Modern management of paediatric obstructive salivary disorders: long-term clinical experience
title Modern management of paediatric obstructive salivary disorders: long-term clinical experience
title_full Modern management of paediatric obstructive salivary disorders: long-term clinical experience
title_fullStr Modern management of paediatric obstructive salivary disorders: long-term clinical experience
title_full_unstemmed Modern management of paediatric obstructive salivary disorders: long-term clinical experience
title_short Modern management of paediatric obstructive salivary disorders: long-term clinical experience
title_sort modern management of paediatric obstructive salivary disorders: long-term clinical experience
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5463525/
https://www.ncbi.nlm.nih.gov/pubmed/28516980
http://dx.doi.org/10.14639/0392-100X-1607
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