THE ROLE OF SIALENDOSCOPY IN THE TREATMENT OF JUVENILE RECURRENT PAROTITIS

Abstract

Introduction: Juvenile recurrent parotitis presents with recurrent and painful swelling of the parotid gland in children and adolescents. Usually, the disease resolves spontaneously by the end of puberty, although frequent inflammation can damage the gland and Stensen’s duct. Sialendoscopy has been used in the diagnostic work-up and treatment of juvenile recurrent parotitis in the last decade. Methods: Data of patients with juvenile recurrent parotitis not responsive to drug treatment who were treated in our clinic between April 2011 and October 2019 were analysed. The number of acute relapses before and after sialendos-copy, intraoperative findings, stenosis, the use of anaesthe-sia, and intraoperative and postoperative complications were compared. The success of procedure was measured by a decrease in the number of acute relapses after procedure. Results: 14 patients were included in the study. 19 sialendos-copies were performed, 16 under general and 3 under local anaesthesia. The patients had an average of 5 relapses per year before the initial procedure. 6 patients had ductal stenosis. During sialendoscopy, the main duct was damaged in 2 patients. 11 patients did not have any relapses after sialen-doscopy. The other 3 had a significant reduction in relapses. Conclusion: Sialendoscopy is a safe and effective proced-ure for the diagnosis and treatment of juvenile recurrent parotitis. Sialendoscopy has few complications, a short hospitalization, and a significant reduction in the number of relapses.

Keywords

• juvenile recurrent parotitis
• parotid gland
• sialendoscopy
• conservative treatment