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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-10-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/9/11/1632 |
| _version_ | 1797468705117962240 |
|---|---|
| author | Luka Pušnik Anže Jerman Jure Urbančič Aleksandar Aničin |
| author_facet | Luka Pušnik Anže Jerman Jure Urbančič Aleksandar Aničin |
| author_sort | Luka Pušnik |
| collection | DOAJ |
| 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 (<i>p</i> < 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. |
| first_indexed | 2024-03-09T19:10:16Z |
| format | Article |
| id | doaj.art-53cba7775a1f421eb0b2d0c83f1bac65 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T19:10:16Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-53cba7775a1f421eb0b2d0c83f1bac652023-11-24T04:11:17ZengMDPI AGChildren2227-90672022-10-01911163210.3390/children9111632Sialendoscopy in Management of Juvenile Recurrent Parotitis—A Single Centre ExperienceLuka Pušnik0Anže Jerman1Jure Urbančič2Aleksandar Aničin3Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, SloveniaDepartment of Otorhinolaryngology and Cervicofacial Surgery, University Medical Center Ljubljana, 1000 Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, 1000 Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, 1000 Ljubljana, SloveniaJuvenile 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 (<i>p</i> < 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.https://www.mdpi.com/2227-9067/9/11/1632minimally invasive surgerysialendoscopyjuvenile recurrent parotitisotorhinolaryngologysalivary gland disease |
| spellingShingle | Luka Pušnik Anže Jerman Jure Urbančič Aleksandar Aničin Sialendoscopy in Management of Juvenile Recurrent Parotitis—A Single Centre Experience Children minimally invasive surgery sialendoscopy juvenile recurrent parotitis otorhinolaryngology salivary gland disease |
| 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 | minimally invasive surgery sialendoscopy juvenile recurrent parotitis otorhinolaryngology salivary gland disease |
| url | https://www.mdpi.com/2227-9067/9/11/1632 |
| work_keys_str_mv | AT lukapusnik sialendoscopyinmanagementofjuvenilerecurrentparotitisasinglecentreexperience AT anzejerman sialendoscopyinmanagementofjuvenilerecurrentparotitisasinglecentreexperience AT jureurbancic sialendoscopyinmanagementofjuvenilerecurrentparotitisasinglecentreexperience AT aleksandaranicin sialendoscopyinmanagementofjuvenilerecurrentparotitisasinglecentreexperience |