Sialendoscopy approach in treating juvenile recurrent parotitis: a systematic review
Abstract Background Juvenile recurrent parotitis (JRP) is characterized by recurrent episodes of painful parotid swelling in children. The purpose of this systematic review was to determine the diagnostic and therapeutic effectiveness of sialendoscopy in children affected by JRP. Methods A systemati...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40463-023-00658-1 |
| _version_ | 1797740751550939136 |
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| author | D. Soriano-Martín L. García-Consuegra L. Junquera T. Rodríguez-Santamarta S. Olay S. Junquera-Olay |
| author_facet | D. Soriano-Martín L. García-Consuegra L. Junquera T. Rodríguez-Santamarta S. Olay S. Junquera-Olay |
| author_sort | D. Soriano-Martín |
| collection | DOAJ |
| description | Abstract Background Juvenile recurrent parotitis (JRP) is characterized by recurrent episodes of painful parotid swelling in children. The purpose of this systematic review was to determine the diagnostic and therapeutic effectiveness of sialendoscopy in children affected by JRP. Methods A systematic literature search was performed in PubMed, EMBASE, Scopus and the Cochrane Library until April 2022, without language restrictions or specified start date. Quality assessment was performed using the Newcastle–Ottawa Scale (NOS). Results Our review included 524 patients and 646 sialendoscopies. The sample sizes of the different studies ranged from 3 to 77 subjects. Most authors performed sialendoscopy under general anesthesia. The mean percentage of recurrences observed was 25.1% (95% confidence intervals) (CI 23.6–26.6). There was a statistically significant relationship between the number of attacks/year and recurrences (p < 0.05). The percentage of recurrences according to the type of irrigation/flushing used ranged from 22.2% to 25.2%, with no significant differences between the use of corticosteroids alone (25.2% of recurrences), corticosteroids plus antibiotics (25% of recurrences) or saline alone (22.2% of recurrences). Sialoendoscopy has proved in all cases to be a valid method for the diagnosis of JRP, but it does not allow a reliable differential diagnosis with other autoimmune parotitis such as Sjögren's syndrome. Conclusion According to our results, parotid sialoendoscopy was 74.9% effective as a primary treatment in the prevention of recurrent symptoms in JRP. The type of ductal irrigation used did not significantly influence the prognostic outcome. |
| first_indexed | 2024-03-12T14:16:55Z |
| format | Article |
| id | doaj.art-d1b2185669f449f39e7b8ec29ba4b7d0 |
| institution | Directory Open Access Journal |
| issn | 1916-0216 |
| language | English |
| last_indexed | 2024-03-12T14:16:55Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj.art-d1b2185669f449f39e7b8ec29ba4b7d02023-08-20T11:17:21ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162023-08-0152111110.1186/s40463-023-00658-1Sialendoscopy approach in treating juvenile recurrent parotitis: a systematic reviewD. Soriano-Martín0L. García-Consuegra1L. Junquera2T. Rodríguez-Santamarta3S. Olay4S. Junquera-Olay5Department Maxillofacial Surgery, Central University Hospital of AsturiasDepartment Maxillofacial Surgery, Central University Hospital of AsturiasDepartment of Surgery, Oviedo UniversityDepartment Maxillofacial Surgery, Central University Hospital of AsturiasDepartment of Surgery, Oviedo UniversityDepartment of Radiology, San Agustin University HospitalAbstract Background Juvenile recurrent parotitis (JRP) is characterized by recurrent episodes of painful parotid swelling in children. The purpose of this systematic review was to determine the diagnostic and therapeutic effectiveness of sialendoscopy in children affected by JRP. Methods A systematic literature search was performed in PubMed, EMBASE, Scopus and the Cochrane Library until April 2022, without language restrictions or specified start date. Quality assessment was performed using the Newcastle–Ottawa Scale (NOS). Results Our review included 524 patients and 646 sialendoscopies. The sample sizes of the different studies ranged from 3 to 77 subjects. Most authors performed sialendoscopy under general anesthesia. The mean percentage of recurrences observed was 25.1% (95% confidence intervals) (CI 23.6–26.6). There was a statistically significant relationship between the number of attacks/year and recurrences (p < 0.05). The percentage of recurrences according to the type of irrigation/flushing used ranged from 22.2% to 25.2%, with no significant differences between the use of corticosteroids alone (25.2% of recurrences), corticosteroids plus antibiotics (25% of recurrences) or saline alone (22.2% of recurrences). Sialoendoscopy has proved in all cases to be a valid method for the diagnosis of JRP, but it does not allow a reliable differential diagnosis with other autoimmune parotitis such as Sjögren's syndrome. Conclusion According to our results, parotid sialoendoscopy was 74.9% effective as a primary treatment in the prevention of recurrent symptoms in JRP. The type of ductal irrigation used did not significantly influence the prognostic outcome.https://doi.org/10.1186/s40463-023-00658-1SialendoscopyJuvenile recurrent parotitisSialadenitisSalivary gland |
| spellingShingle | D. Soriano-Martín L. García-Consuegra L. Junquera T. Rodríguez-Santamarta S. Olay S. Junquera-Olay Sialendoscopy approach in treating juvenile recurrent parotitis: a systematic review Journal of Otolaryngology - Head and Neck Surgery Sialendoscopy Juvenile recurrent parotitis Sialadenitis Salivary gland |
| title | Sialendoscopy approach in treating juvenile recurrent parotitis: a systematic review |
| title_full | Sialendoscopy approach in treating juvenile recurrent parotitis: a systematic review |
| title_fullStr | Sialendoscopy approach in treating juvenile recurrent parotitis: a systematic review |
| title_full_unstemmed | Sialendoscopy approach in treating juvenile recurrent parotitis: a systematic review |
| title_short | Sialendoscopy approach in treating juvenile recurrent parotitis: a systematic review |
| title_sort | sialendoscopy approach in treating juvenile recurrent parotitis a systematic review |
| topic | Sialendoscopy Juvenile recurrent parotitis Sialadenitis Salivary gland |
| url | https://doi.org/10.1186/s40463-023-00658-1 |
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