Sialendoscopy for recurrent parotitis associated with Sjogren syndrome: A case report

Objectives To describe the sialendoscopic findings for a pediatric patient with recurrent bilateral parotitis associated with Sjogren syndrome and to assess the therapeutic potential of sialendoscopy in this patient population. Study design Illustrative case report and literature review. Results A 13-year-old female presented with recurrent bilateral parotitis which was increasing in frequency and affecting her overall health and quality of life. Preoperative imaging demonstrated microcalcifications of her bilateral parotid glands. She was found to have a positive SS-A antibody and was diagnosed with Sjogren syndrome. Sialendoscopy was then performed and findings included thick sludge in Stenson's duct with no salivary stones or duct anomalies identified. The ducts were flushed with saline and steroids. Follow-up has demonstrated no further episodes of recurrent parotitis after 6 months. Conclusions Sjogren syndrome should be considered in all patients with recurrent bilateral parotitis. Sialendoscopy appears to be a potentially valuable diagnostic and therapeutic tool for pediatric patients with Sjogren syndrome. (C) 2011 Elsevier Ireland Ltd. All rights reserved.