Long-Term Experience With Endoscopic Diagnosis and Treatment of Juvenile Recurrent Parotitis.

Autor: Shacham, Rachel, Droma, Eitan Bar, London, Daniel, Bar, Tal, Nahlieli, Oded
Zdroj: Journal of Oral & Maxillofacial Surgery (02782391); Jan2009, Vol. 67 Issue 1, p162-167, 6p
Abstrakt: Purpose: Juvenile recurrent parotitis (JRP) is characterized by intermittent swelling of one or both parotid glands simultaneously or on different occasions. The peak incidence of JRP is between the ages of 3 and 6 years, with predominance among males. The etiology and mechanism are still unknown. The diagnosis is made on a clinical basis and is confirmed by ultrasonography or sialography. Our objective was to present our long-term experience with endoscopic diagnosis and treatment of JRP. Patients and Methods: In this clinical review we report our long-term experience in 70 children who were treated by a combined minimally invasive endoscopic method. Another 5 patients with adult-type JRP were included in the study. Results: In 93% of the patients a single treatment was enough to resolve this phenomenon and prevent its recurrence. Conclusion: Sialoendoscopy and lavage of the parotid gland comprise the treatment of choice for JRP, achieving a high success rate with minimal morbidity. [Copyright &y& Elsevier]
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