Sialoendoscopy for the Treatment of Pediatric Salivary Gland Disorders

Hackett, Alyssa M.; Barañano, Christopher F.; Reed, M; Duvvuri, Umamaheswar; Smith, Richard J.H.; Mehta, Dhoom Singh

doi:10.1001/2013.jamaoto.244

Cited by 46 publications

(36 citation statements)

References 12 publications

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“…Other endoscopic findings were ductal stenoses (single and multiple), mucous plugs, debris accumulation, and dilations. [7][8][9] As for remission rate recurrent inflammation after the procedure, the rates found by Ardeklan et al 4 were 86% at 6 months of follow-up, including 50 patients; Capaccio et al 7 found 65% of remission after 30 months, with 14 patients treated with SE; and Shacham et al 6 showed a 93% remission rate, with a follow-up of 6 to 36 months after treatment, and 65 patients treated surgically. The authors show consensus to conclude that SE is an effective and safe technique in the diagnosis and treatment of IRP and that SE probably acts on the anatomy and physiology of the duct.…”

Section: Resultsmentioning

confidence: 99%

“…As a result of the passing of the device and the irrigation and flushing of the ducts, many of the abnormalities related to the IRP, such as stenoses, debris, and mucus plugs, are eventually resolved by improving the drainage as well as the prognosis and viability of the gland in the medium and long term. 4,[6][7][8] In the studies accessed for purposes of this review, 22 cases of children with sialolithiasis (SL) were described. Of these, 20 patients underwent ultrasound investigation (USG) prior to SE.…”

Section: Resultsmentioning

confidence: 99%

“…Radiological diagnosis of SL was established in 11 of 20 cases (55%). 2,8,9 Among the concurrent endoscopic findings, presence of calculi, mucous plugs, and ductal stenoses were the most frequent. 2,9 The effectiveness of SE for the diagnosis of SL was 100%.…”

Section: Resultsmentioning

confidence: 99%

“…However, there was great variation in the effectiveness of the endoscopic treatment of SL, which was 100% of resolution at 18 months of follow-up (N=12) and 50% at 23 months (N=4). 8 …”

Section: Resultsmentioning

confidence: 99%

“…10 In addition to being a diagnostic method, SE enables flushing of the glandular ducts, removal of debris, ductal dilatation, and direct instillation of corticosteroids or antibiotics. 8 Thus, compared to other methods of treatment, it has the advantage of breaking the glandular inflammatory cycle.…”

Section: Figurementioning

confidence: 99%

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Salivary gland endoscopy in children: A systematic review

Silva¹,

Babicsak²,

Dolci³

2016

Rev. Assoc. Med. Bras.

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introduction Recurrent inflammatory diseases of the major salivary glands that occur in childhood and adolescence, for the most part, do not have a defined etiology. Usually, when there is simultaneous involvement of two or more glands, etiopathogenic hypotheses end up being related to autoimmune or genetic factors. 1 However, when repeated inflammation affects only one of the glands, obstructive factors such as stenosis, malformation, and ductal obstruction by calculus and/or debris are a more likely diagnostic hypotheses. 2 Given the difficulty of the etiologic diagnosis, despite the different methods available, the treatment ends up being in large part directed to symptomatic relief. 1 Sialendoscopy (SE) is a relatively new method for diagnostic and therapeutic approach to salivary gland disorders in children, initially proposed in 1997. 3 Various infections of major salivary glands, both in adults and children have been diagnosed and treated by SE. 2 Using an endoscope inserted through the papilla of the affected gland, a direct view of the ductal system is obtained. Although the main objective of SE is to evaluate the anatomic integrity of the salivary ducts, it is possible to act therapeutically in certain cases during the examination procedure preserving the gland and restoring its function. 1,2 SE is a procedure considered minimally invasive, safe, and shows low complication rates. It is indicated as an alternative to open surgery. 4 Even though the technique has been proposed years ago, its indication for the treatment of children is recent. The development of more sensitive instruments has enabled the transfer of skills and experience obtained in procedures performed in adults to pediatric patients. Objective: To review studies on sialendoscopy (SE) of the salivary glands in children focusing mainly on the indications, endoscopic findings, and effectiveness of the procedure. Method: The electronic databases searched were Pubmed, Scielo, and Cochrane. The search was conducted by two researchers independently, following inclusion and exclusion criteria. A third author analyzed sources of conflict. In the first stage they were discarded by reading the articles title that had no relation to the purpose of the study and then evaluated the abstracts of each study. In these two initial phases 37 articles were excluded. Articles not excluded by the selection criteria have been retrieved and assessed in full. Seven articles had their data extracted and were compared. Results: The literature search parameters listed allowed the recovery of 44 articles. After applying the exclusion criteria, seven studies were included in this review representing 207 patients undergoing with ages ranging from 1 to 16 years. All studies except one underwent SE under general anesthesia. The juvenile recurrent parotitis was the main clinical diagnosis related with SE procedures (N=152). The number of inflammatory attacks per patient per year was the parameter for indication of SE. The efficacy of the procedure was considered high by...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…However, there was great variation in the effectiveness of the endoscopic treatment of SL, which was 100% of resolution at 18 months of follow-up (N=12) and 50% at 23 months (N=4). 8 …”

Section: Resultsmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

See 3 more Smart Citations

Salivary gland endoscopy in children: A systematic review

Silva¹,

Babicsak²,

Dolci³

2016

Rev. Assoc. Med. Bras.

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Treatment of Juvenile Recurrent Parotitis of Childhood

Roby

Mattingly

Jensen

et al. 2015

JAMA Otolaryngol Head Neck Surg

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Current literature shows sialendoscopy with corticosteroid application is successful in treating JRP, but it is unclear whether corticosteroid application alone would treat JRP equally. This study shows that DCI alone has similar results as sialendoscopy with corticosteroid application, indicating that it is the corticosteroid application and not the sialendoscopy causing improvement in symptoms. Because JRP must be differentiated from sialolithiasis, we recommend ultrasonography of the involved parotid(s) prior to using DCI alone to ensure no stone is present. Sialendoscopy should be reserved to rule out other parotid ductal pathologic conditions.

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Pediatric Salivary Gland Pathology

Carlson

Ord

2015

Salivary Gland Pathology

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Sialoendoscopy for the Treatment of Pediatric Salivary Gland Disorders

Cited by 46 publications

References 12 publications

Salivary gland endoscopy in children: A systematic review

Salivary gland endoscopy in children: A systematic review

Treatment of Juvenile Recurrent Parotitis of Childhood

Pediatric Salivary Gland Pathology

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