Utilidad de la sialoendoscopia en el manejo de la parotiditis recurrente juvenil. Estudio retrospectivo

IF 0.9 Q3 OTORHINOLARYNGOLOGY

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

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

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引用次数: 0

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 sialoendoscopy.

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 sialoendoscopy, of which two (12%) required reintervention. In 100% (14) of the patients treated with siaolendoscopy, the findings were consistent with JRP and, after sialoendoscopy, 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 sialoendoscopy is a useful tool in the treatment of juvenile recurrent parotitis. However, new studies comparing the results of sialoendoscopy with other therapeutic alternatives are necessary.

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咽内镜在治疗青少年复发性腮腺炎中的作用。回顾性研究

材料和方法回顾性研究包括 2010 年 1 月至 2020 年 9 月期间在一家三级医院确诊为幼年复发性腮腺炎的患者，目的是评估药物治疗和咽内镜检查的结果。结果共有 48 名患者符合纳入标准，平均随访 4 年（SD = 3；最少：2/最多：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。同时，14 名（29.2%）患者接受了咽内窥镜检查，其中 2 名（12%）患者需要再次接受治疗。在接受虹膜内镜检查的 14 名患者中，100% 的患者的检查结果与 JRP 一致，而且在接受虹膜内镜检查后，发作次数明显减少，平均减少 1 次（SD = 1.5；最少：0/最多：6；P<.001）。然而，有必要进行新的研究，将咽内窥镜检查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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来源期刊

Acta otorrinolaringologica espanola OTORHINOLARYNGOLOGY-

CiteScore

1.40

自引率

20.00%

发文量

审稿时长

44 days

期刊介绍： Es la revista más importante en español dedicada a la especialidad. Ofrece progresos científicos y técnicos tanto a nivel de originales como de casos clínicos. Además, es la Publicación Oficial de la Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial y está presente en los más prestigiosos índices de referencia.