Office‐based sclerotherapy for benign parotid lymphoepithelial cysts in the HIV‐positive patient

Berg, Eric E.; Moore, Charles E.

doi:10.1002/lary.20205

Cited by 10 publications

(13 citation statements)

References 13 publications

(8 reference statements)

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“…Five included studies were garnered from the reference section of the original manuscripts reviewed. Table provides a summary of all included studies and specific methods of nonsurgical management. Twelve studies were included in the systematic review, whereas only three studies were included in the meta‐analysis due to sample size requirements.…”

Section: Resultsmentioning

confidence: 99%

“…Ehrenstein et al recommend the initiation of combination ART, including 2 nucleoside reverse transcriptase inhibitors, with either a protease inhibitor or a nonnucleoside reverse transcriptase inhibitor. Based on our review, the average complete response of patients receiving ART was approximately 50% with a range from 16.7% to 90% (Table ). Syebele and Bütow reported the highest rates of complete response at 90% with combination HAART (stavudine, lamivudine, and efavirenz).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Nonsurgical management of human immunodeficiency virus‐associated parotid cysts: A systematic review and meta‐analysis

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nonsurgical management of human immunodeficiency virus‐associated parotid cysts: A systematic review and meta‐analysis

et al. 2018

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“…Previous treatments for BLEC have included repeated fine-needle aspiration and drainage, surgery, radiotherapy, sclerotherapy, and conservative therapy with institution of highly active antiretroviral therapy (HAART) medications 2–6,10–22Table 1 summarizes the advantages and disadvantages, duration of procedures, and the cost of treatment for BLEC.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The studies on ethanol only evaluated patients subjectively as being pleased or displeased with their results, and therefore will not be discussed. 12 Doxycycline injection into the cysts resulted in a 22% (2/9 cysts) complete response rate 22. Two of the patients in the doxycycline treatment group opted for superficial parotidectomy as definitive treatment for their cysts 13.…”

Section: Literature Reviewmentioning

confidence: 99%

Benign lymphoepithelial cysts of the parotid: long-term surgical results

Steehler¹,

Steehler²,

Davison³

2012

HIV

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Benign lymphoepithelial cysts are a widely recognized cause of parotid gland swelling in patients infected with the human immunodeficiency virus (HIV). These cysts are pathognomonic for HIV. The cysts frequently grow to be exceptionally large, causing physical deformity and gross asymmetry of facial contour. This clinical commentary analyzes this cosmetically deforming disease entity and the many treatments that accompany it. The patient presented in this paper is a surgical case-control. The case is a microcosm for our findings upon review of the literature. Treatment options for benign lymphoepithelial cysts include repeated fine-needle aspiration and drainage, surgery, radiotherapy, sclerotherapy, and conservative therapy, with institution of highly active antiretroviral therapy medication. Based on this surgical case-control and our review of the literature, it is concluded that surgical intervention offers the best cosmetic result for these patients.

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“…Management consists of needle aspiration; because the cysts have a propensity to recur, sclerotherapy with tetracycline or doxycycline has been shown to be effective. Recently, additional injectable agents (eg, sodium morrhuate) were identified as being effective [10,11]. For small asymptomatic cysts, observation is perfectly appropriate.…”

Section: Introductionmentioning

confidence: 99%

Manifestations of HIV in the Head and Neck

Sorensen

2010

Curr Infect Dis Rep

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The worldwide incidence of human immunodeficiency virus (HIV) is increasing. The head and neck is a primary site for numerous manifestations of HIV disease, and it is clear that one or more of these processes will eventually affect most patients. HIV-infected patients are susceptible to all of the usual problems encountered in the head and neck, and the disease poses unique and significant problems rarely encountered in the non-HIV-infected patient. These problems include otolaryngic infections, inflammatory processes, and malignancies. The institution of highly active antiretroviral medications has significantly decreased the mortality and morbidity of this disease, and has resulted in significant improvements in quality of life. However, antiretroviral therapy can also suppress widely disseminated disease in the usual locations so that the head and neck becomes the presenting anatomic site for these processes. It is important for the health care team to be aware of these problems so that early diagnosis and treatment can be provided.

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Office‐based sclerotherapy for benign parotid lymphoepithelial cysts in the HIV‐positive patient

Cited by 10 publications

References 13 publications

Nonsurgical management of human immunodeficiency virus‐associated parotid cysts: A systematic review and meta‐analysis

Nonsurgical management of human immunodeficiency virus‐associated parotid cysts: A systematic review and meta‐analysis

Benign lymphoepithelial cysts of the parotid: long-term surgical results

Manifestations of HIV in the Head and Neck

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