Inflammatory diseases of the salivary glands in infants and adolescents

Laskawi, R.; Schaffranietz, Frank; Arglebe, Christian; Ellies, Maik

doi:10.1016/j.ijporl.2005.06.012

Cited by 22 publications

(17 citation statements)

References 20 publications

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“…Predominant among the bacterial pathogens are group A streptococci and Staphylococcus aureus. This is supported by our own findings [18]. Typical viral diseases are parotitis epidemica and cytomegaly.…”

Section: Introductionsupporting

confidence: 85%

“…We observed only one instance of sialolithiasis of the parotid gland in a 4-year-old boy (2.2%) [18]. Zenk et al [24] found seven cases (1.1%) among their patients less than 25 years.…”

Section: Introductionmentioning

confidence: 96%

“…The children documented in our own study [18] constitute a selected group of patients, since they presented at our clinic for operative therapy in well-defined cases. Concrements were located intraglandularly or found in the proximal portion of the Wharton's duct (submandibular duct) in 66.7% of cases, and in 33.3% they were localized outside the gland in the vicinity of the hilus and of the distal portion of the excretory duct.…”

Section: Introductionmentioning

confidence: 99%

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Diseases of the salivary glands in infants and adolescents

Ellies

Laskawi

2010

Head Face Med

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BackgroundDiseases of the salivary glands are rare in infants and children (with the exception of diseases such as parotitis epidemica and cytomegaly) and the therapeutic regimen differs from that in adults. It is therefore all the more important to gain exact and extensive insight into general and special aspects of pathological changes of the salivary glands in these age groups. Etiology and pathogenesis of these entities is still not yet fully known for the age group in question so that general rules for treatment, based on clinical experience, cannot be given, particularly in view of the small number of cases of the different diseases. Swellings of the salivary glands may be caused by acute and chronic inflammatory processes, by autoimmune diseases, by duct translocation due to sialolithiasis, and by tumors of varying dignity. Clinical examination and diagnosis has also to differentiate between salivary gland cysts and inflammation or tumors.ConclusionSalivary gland diseases are rare in childhood and adolescence. Their pattern of incidence differs very much from that of adults. Acute and chronic sialadenitis not responding to conservative treatment requires an appropriate surgical approach. The rareness of salivary gland tumors is particularly true for the malignant parotid tumors which are more frequent in juvenile patients, a fact that has to be considered in diagnosis and therapy.

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Section: Introductionsupporting

confidence: 85%

“…We observed only one instance of sialolithiasis of the parotid gland in a 4-year-old boy (2.2%) [18]. Zenk et al [24] found seven cases (1.1%) among their patients less than 25 years.…”

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Diseases of the salivary glands in infants and adolescents

Ellies

Laskawi

2010

Head Face Med

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“…Many of the options proposed in the past have now been almost totally abandoned: tympanic nerve section, duct ligation, the injection of sclerosing substances, partial or total parotidectomy, and low-dose radiotherapy. 1,2,36,37 Previously, total parotidectomy with conservation of the facial nerve was the most widely used treatment option, and had a high success rate (80-100 per cent); however, it exposed patients to the risk of well-known complications such as facial paresis, Frey syndrome, ear lobe numbness, traumatic neuroma of the great auricular nerve, and an unsatisfactory aesthetic result. 20 More recently, a revised approach more attuned to confirmation of the benign nature of the pathology, and to the disappearance or attenuation of symptoms after puberty, has enabled avoidance of parotidectomy in all but a few cases.…”

Section: Introductionmentioning

confidence: 99%

Modern management of juvenile recurrent parotitis

et al. 2012

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The use of modern, minimally invasive diagnostic tools such as colour Doppler ultrasonography, magnetic resonance sialography and sialoendoscopy represents a new frontier in the management of juvenile recurrent parotitis. Operative sialoendoscopy also has the important therapeutic benefit of reducing the number of recurrences of acute episodes of parotitis, thus giving patients a better quality of life until puberty.

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“…They constitute about 10% of all child tumors in the head and neck area [1]. In the youngest children, the most common are hemangiomas and in pre-school and school children -inflammatory tumors [2,3]. Other tumors of the glands are very rare.…”

Section: Introductionmentioning

confidence: 99%

Major salivary gland tumors in children — diagnostic and therapeutic difficulties

Zielinski

Zakrzewska

2012

Open Medicine

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AbstractMajor salivary gland tumors are very rare in the developmental period. Confirming tumor changes of the salivary gland requires precise diagnostic imaging involving an ultrasonography scan, computed tomography and magnetic resonance. A needle aspiration biopsy (NAB) of a tumor is of high importance. Excision of the tumor is the main treatment method in the case of parotid gland tumors. Statistical data concerning tumors suggest choosing less invasive methods, which seems very logical in children. The operational methods used in the tumor treatment are: extracapsular excision of a tumor, partial parotidectomy, total parotidectomy, sometimes proceeded with lymphatic nodes operations. Extracapsular excision of a tumor is a noninvasive method chosen because of simplicity and lesser risk of serious complications. This method is reserved only for the cases of benign tumors of the gland. Most authors, however, consider a partial parotidectomy as a method of choice in benign tumor cases and a total parotidectomy in cases of carcinomas of the parotid gland. Submandibular gland tumors need total gland excision. The clinical cases presented in this paper show the difficulties in diagnosis and treatment choices in cases of major salivary gland tumors in children.

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Inflammatory diseases of the salivary glands in infants and adolescents

Cited by 22 publications

References 20 publications

Diseases of the salivary glands in infants and adolescents

Diseases of the salivary glands in infants and adolescents

Modern management of juvenile recurrent parotitis

Major salivary gland tumors in children — diagnostic and therapeutic difficulties

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