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Sialendoscopy in Management of Juvenile Recurrent Parotitis—A Single Centre Experience

Juvenile recurrent parotitis is a rare inflammatory disease of the parotid gland that shares diverse therapeutic management between institutions. Sialendoscopy has been demonstrated as an efficient diagnostics and therapeutic method with minimal complications; however, due to the rarity of the disea...

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Autores principales: Pušnik, Luka, Jerman, Anže, Urbančič, Jure, Aničin, Aleksandar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9688286/
https://www.ncbi.nlm.nih.gov/pubmed/36360360
http://dx.doi.org/10.3390/children9111632
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author Pušnik, Luka
Jerman, Anže
Urbančič, Jure
Aničin, Aleksandar
author_facet Pušnik, Luka
Jerman, Anže
Urbančič, Jure
Aničin, Aleksandar
author_sort Pušnik, Luka
collection PubMed
description Juvenile recurrent parotitis is a rare inflammatory disease of the parotid gland that shares diverse therapeutic management between institutions. Sialendoscopy has been demonstrated as an efficient diagnostics and therapeutic method with minimal complications; however, due to the rarity of the disease and limited data, there is a lack of universal guidelines on its optimal management. Herein, we retrospectively analysed patients with juvenile recurrent parotitis who had the sialendoscopy performed at our tertiary centre. Descriptive data were retrieved along with the number of swelling episodes one year before and after the sialendoscopy intervention. In the last decade, twenty-nine sialendoscopic procedures were performed at our clinics on twenty-one patients diagnosed with juvenile recurrent parotitis. Most of them underwent the procedure under general anaesthesia (86%). In the year before and after the sialendoscopic procedure, the patients had 3.9 ± 2.7 and 0.2 ± 0.4 episodes of swelling per year, respectively. The difference proved to be statistically significant (p < 0.0001). The complete resolution was noted in sixteen patients (76%); however, the procedure was not repeated on the same side of any patient. Solely one patient had a relapse of the disease reported more than twelve months after the sialendoscopy, nonetheless, one of his exacerbation episodes was already reported in the first year after the sialendoscopy. The mean follow-up period of patients was 48.6 months (range, 13–116 months). All things considered, this study emphasises sialendoscopy as an effective minimally invasive diagnostic and therapeutic tool for the management of juvenile recurrent parotitis.
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spelling pubmed-96882862022-11-25 Sialendoscopy in Management of Juvenile Recurrent Parotitis—A Single Centre Experience Pušnik, Luka Jerman, Anže Urbančič, Jure Aničin, Aleksandar Children (Basel) Article Juvenile recurrent parotitis is a rare inflammatory disease of the parotid gland that shares diverse therapeutic management between institutions. Sialendoscopy has been demonstrated as an efficient diagnostics and therapeutic method with minimal complications; however, due to the rarity of the disease and limited data, there is a lack of universal guidelines on its optimal management. Herein, we retrospectively analysed patients with juvenile recurrent parotitis who had the sialendoscopy performed at our tertiary centre. Descriptive data were retrieved along with the number of swelling episodes one year before and after the sialendoscopy intervention. In the last decade, twenty-nine sialendoscopic procedures were performed at our clinics on twenty-one patients diagnosed with juvenile recurrent parotitis. Most of them underwent the procedure under general anaesthesia (86%). In the year before and after the sialendoscopic procedure, the patients had 3.9 ± 2.7 and 0.2 ± 0.4 episodes of swelling per year, respectively. The difference proved to be statistically significant (p < 0.0001). The complete resolution was noted in sixteen patients (76%); however, the procedure was not repeated on the same side of any patient. Solely one patient had a relapse of the disease reported more than twelve months after the sialendoscopy, nonetheless, one of his exacerbation episodes was already reported in the first year after the sialendoscopy. The mean follow-up period of patients was 48.6 months (range, 13–116 months). All things considered, this study emphasises sialendoscopy as an effective minimally invasive diagnostic and therapeutic tool for the management of juvenile recurrent parotitis. MDPI 2022-10-27 /pmc/articles/PMC9688286/ /pubmed/36360360 http://dx.doi.org/10.3390/children9111632 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pušnik, Luka
Jerman, Anže
Urbančič, Jure
Aničin, Aleksandar
Sialendoscopy in Management of Juvenile Recurrent Parotitis—A Single Centre Experience
title Sialendoscopy in Management of Juvenile Recurrent Parotitis—A Single Centre Experience
title_full Sialendoscopy in Management of Juvenile Recurrent Parotitis—A Single Centre Experience
title_fullStr Sialendoscopy in Management of Juvenile Recurrent Parotitis—A Single Centre Experience
title_full_unstemmed Sialendoscopy in Management of Juvenile Recurrent Parotitis—A Single Centre Experience
title_short Sialendoscopy in Management of Juvenile Recurrent Parotitis—A Single Centre Experience
title_sort sialendoscopy in management of juvenile recurrent parotitis—a single centre experience
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9688286/
https://www.ncbi.nlm.nih.gov/pubmed/36360360
http://dx.doi.org/10.3390/children9111632
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