Sialendoscopy in treating pediatric salivary gland disorders: a systematic review

Schwarz, Yehuda; Bezdjian, Aren; Daniel, Sam J.

doi:10.1007/s00405-017-4830-2

Cited by 34 publications

(20 citation statements)

References 28 publications

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“…The obstruction can lead to inflammation caused by destructive salivary enzymes and superimposed bacterial infections causing sialadenitis or, in rare cases, abscess formation. Sialolithiasis is very uncommon in children and adolescents; the literature reports sporadic cases of calculi both in the Stensen and in the Wharton's duct with a prevalence in males [12,13]. Our data showed impairment of the submandibular gland with a slight prevalence in the female sex (63.6%).…”

Section: Obstructive Disorderssupporting

confidence: 47%

Salivary Gland Disorders in Pediatric Patients: A 20 Years’ Experience

et al. 2022

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Salivary gland disorders are uncommon in children; they show a lower prevalence when compared to adults. The literature has a relative lack of information about the management and the different treatment protocols regarding these diseases. The aim of this research is to investigate the prevalence of both benign and malignant salivary gland disorders, focusing on diagnostic and therapy. An audit of patients diagnosed with salivary gland disorders was conducted from 2000 to 2020. 99 patients’ records were selected and analyzed: 51 males’ and 48 females’, age 10 ± 4 SD. Obstructive pathologies were the most frequently diagnosed (49 patients) followed by oncologic (21 patients), inflammatory (20 patients), rheumatologic (4 patients), malformative (3 patients) and infective disorders (2 patients). The parotid was the most affected major gland in 47 cases with a prevalence of diagnosis of juvenile recurrent parotitis (JRP) (40.4%), followed by the sublingual gland in 14 cases of ranula (100%) and the submandibular gland in 11 patients suffering from sialolithiasis (84.6%). Swelling was the most common symptom (75.7% of patients). Seven different neoplasms were documented. A greater prevalence of low-grade mucoepidermoid carcinoma among the malignant group (38.1% of oncologic cases) was noted. In regards to benign tumors, pleomorphic adenoma was the most common diagnosis (47.6% of cases). The symptoms and outcomes showed statistical significance concerning gender. Although salivary gland diseases in children and adolescents are rare, it is essential to observe and monitor all of the symptoms to intervene if necessary, as painless swelling is a symptom common from both benign and malignant diseases.

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Section: Obstructive Disorderssupporting

confidence: 47%

Salivary Gland Disorders in Pediatric Patients: A 20 Years’ Experience

et al. 2022

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“…The procedure is used to visualize the canal system of Stensen's duct and examine it for impeding agents such as sialoliths or mucosal debris, tight areas of the duct (stenosis), and whitish ductal mucosa (evidence of inflammation) [11, 31]. The procedure is usually performed with the patient in supine position with the head slightly elevated [32]. After the identification of the papilla, the endoscope is gently inserted through the papilla and pressed forward slowly and carefully into the ductal system while steady irrigation is used to dilate the ductal system.…”

Section: Treatment Strategiesmentioning

confidence: 99%

“…The ductal system can also be cleansed by rinsing with saline solution and washing out any debris or small stones that might cause the swelling. However, it is not clear just yet whether the dilation of the duct, the drugs injected into it, or lavaging of the duct is definitively efficacious [32].…”

Section: Treatment Strategiesmentioning

confidence: 99%

“…As for the effectiveness of sialendoscopy, the full potential of the method has yet to be reached. Physicians are yet not fully comfortable with the use of such small endoscopes and fear the possible complications [32]. Garavello et al [10], in a systematic review on JRP treatment studies state that the rate of recurrences after sialendoscopy was 25.8%, and their severity was lower [10].…”

Section: Treatment Strategiesmentioning

confidence: 99%

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Juvenile Recurrent Parotitis: The Role of Sialendoscopy

Papadopoulou‐Alataki

Dogantzis

Chatziavramidis

et al. 2019

International Journal of Inflammation

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Juvenile recurrent parotitis (JRP) is a recurrent parotid inflammation of nonobstructive, nonsuppurative nature. It manifests in childhood and usually resolves after puberty but may also persist into adulthood. JRP is characterized by recurrent episodes of unilateral or/and bilateral parotid swelling with pain, reduction of salivary secretion, swallowing difficulty, fever, and malaise. The cause of this condition remains obscure. Throughout the last two decades, many therapeutic methods have been used in order to reduce the frequency and severity of JRP. During the acute episodes, conservative approaches (antibiotics, analgesics, sialogogues, massage of the parotid gland, and mouth rinses) are used. Parotidectomy has been suggested in rare selective occasions. Recently, a promising concept of sialendoscopy, which is a minimal invasive endoscopic technique, has been applied. This review outlines the literature on JRP focusing on methods and challenges in diagnosing JRP along with the differential diagnosis of JRP and the function of the parotid during JRP. In addition, we describe the treatment options for JRP, pointing out the importance of sialendoscopy as a diagnostic and treatment procedure that offers improvement in patients' daily life.

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“…Eine Erfolgsrate wurde nicht berechnet. Bei einer mittleren gepoolten Follow-Up Zeit von 18 Monaten lag die Rate erneuter Beschwerden bei 14,5 %[87]. Die Erfolgsraten sind also bei der Behandlung von Steinleiden, bei Erwachsenen und bei der Notwendigkeit von kombinierten Eingriffen am höchsten.…”

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Qualität der Therapie von Speicheldrüsenerkrankungen

Guntinas‐Lichius

2020

Laryngo-Rhino-Otol

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ZusammenfassungDie Behandlung von Speicheldrüsenerkrankungen stellt ein wichtiges Segment der HNO-Heilkunde dar. Von der Vielzahl von Speicheldrüsenerkrankungen sieht der einzelne HNO-Arzt allerdings möglicherweise nur wenige Fälle pro Jahr und chirurgische oder endoskopisch minimal-invasive Therapiekonzepte spielen eine wichtige Rolle. Daher kann der Erkenntnisgewinn nicht nur von prospektiven klinischen Studien getragen werden, sondern heute im Wesentlichen durch Meta-Analysen und potentiell auch von Registerdaten. Während eine Vielzahl guter Indikatoren vorhanden ist, um die Funktion der erkrankten Speicheldrüse und deren Besserung unter Therapie zu messen, sind Patient-reported outcome measures (PROMs) bislang nicht ausreichend entwickelt worden. Es ist zu fordern, dass diese Indikatoren auch konsequent in klinischen Studien eingesetzt werden. Perspektivisch könnten dieselben Indikatoren auch für Qualitätskontrollen in der ambulanten und stationären Routine angewandt werden. Die Rahmenbedingungen für einen qualitativ hochwertigen Wissenserwerb sind durch die HNO-Facharzt-Ausbildung, die Verpflichtung der Weiterbildung und durch zertifizierte Speicheldrüsen-Kurse prinzipiell sehr gut, die Vorgaben für spezifische Qualitätsstandards für die Behandlung von Patienten sind jedoch wenig ausgearbeitet. In Abgrenzung zu anderen Fachgebieten, die sich mit Speicheldrüsenerkrankungen beschäftigen, sollte die HNO-Heilkunde Standards mit hoher Qualitätsforderung für die Behandlung von Patienten mit Speicheldrüsenerkrankungen entwickeln.

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Sialendoscopy in treating pediatric salivary gland disorders: a systematic review

Abstract: Sialendoscopy is a minimally invasive diagnostic and therapeutic tool for inflammatory salivary gland disorders in pediatric patients. Based on the current review, sialendoscopy can be successfully implemented in cases of pediatric salivary gland disorders.

Cited by 34 publications

References 28 publications

Salivary Gland Disorders in Pediatric Patients: A 20 Years’ Experience

Salivary Gland Disorders in Pediatric Patients: A 20 Years’ Experience

Juvenile Recurrent Parotitis: The Role of Sialendoscopy

Qualität der Therapie von Speicheldrüsenerkrankungen

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