Utility of sialendoscopy in the management of juvenile recurrent parotitis. Retrospective study

Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI:10.1016/j.otoeng.2024.05.006

Maider Andueza Guembe, Carlos Miguel Chiesa Estomba, Carlos Saga Gutiérrez, Izaskun Thomas Arrizabalaga, Marta Ábrego Olano, María Vázquez Quintano, Xabier Altuna Mariezcurren

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Abstract

Introduction

Juvenile recurrent parotitis is a rare disease characterized by repeated episodes of inflammation affecting, unilaterally or bilaterally, the parotid glands during childhood.

Material and methods

Retrospective study including patients diagnosed with juvenile recurrent parotitis between January 2010 and September 2020 at a tertiary level hospital, with the aim of evaluating the results of medical treatment and sialendoscopy.

Results

A total of 48 patients met the inclusion criteria and had a mean follow-up of 4 years (SD = 3; Min: 2/Max: 12). Regarding treatment, 34 (70.8%) patients received conservative treatment and had a mean of 5 episodes (SD = 3; Min: 2/Max: 13) until symptom resolution. Meanwhile, 14 (29.2%) patients underwent sialendoscopy, of which two (12%) required reintervention. In 100% (14) of the patients treated with sialendoscopy, the findings were consistent with JRP and, after sialendoscopy, a statistically significant reduction in episodes was observed, with a mean of 1 post-intervention episode (SD = 1.5; Min:0/Max: 6) (P < .001).

Conclusions

The results obtained in this study suggest that sialendoscopy is a useful tool in the treatment of juvenile recurrent parotitis. However, new studies comparing the results of sialendoscopy with other therapeutic alternatives are necessary.

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鞘内镜在治疗青少年复发性腮腺炎中的作用。回顾性研究。

简介幼年复发性腮腺炎是一种罕见疾病，其特征是儿童时期单侧或双侧腮腺反复发作炎症：回顾性研究，包括2010年1月至2020年9月期间在一家三级医院确诊的幼年复发性腮腺炎患者，目的是评估药物治疗和霰粒肿内窥镜检查的结果：共有48名患者符合纳入标准，平均随访时间为4年（SD = 3；最小：2/最大：12）。在治疗方面，34 例（70.8%）患者接受了保守治疗，平均治疗 5 次（SD = 3；最少：2 次/最多：13 次），直至症状缓解。与此同时，14 名（29.2%）患者接受了咽内窥镜检查，其中 2 名（12%）患者需要再次手术。在接受虹膜内窥镜检查的患者中，100%（14 人）的检查结果与 JRP 一致，而且在接受虹膜内窥镜检查后，发作次数在统计学上显著减少，干预后平均发作次数为 1 次（SD = 1.5；最少：0/最多：6 次）（P 结论：在接受虹膜内窥镜检查的患者中，100%（14 人）的检查结果与 JRP 一致，干预后平均发作次数为 1 次（SD = 1.5；最少：0/最多：6 次）：这项研究的结果表明，咽内窥镜检查是治疗青少年复发性腮腺炎的有效工具。然而，有必要进行新的研究，将巩膜内窥镜检查的结果与其他治疗方法进行比较。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Acta otorrinolaringologica espanola

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