Modern management of juvenile recurrent parotitis

被引:41
作者
Capaccio, P. [1 ]
Sigismund, P. E. [1 ]
Luca, N. [1 ]
Marchisio, P. [2 ]
Pignataro, L. [1 ]
机构
[1] Univ Milan, Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Specialised Surg Sci, Milan, Italy
[2] Univ Milan, Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Maternal & Paediat Sci, Milan, Italy
关键词
Sialography; Ultrasonography; Endoscopy; Parotid Gland; Parotitis; RESONANCE VIRTUAL ENDOSCOPY; SELECTIVE IGA DEFICIENCY; MR SIALOGRAPHY; SALIVARY-GLANDS; ULTRASONOGRAPHIC FEATURES; PEDIATRIC SIALENDOSCOPY; CHILDREN; CHILDHOOD; DIAGNOSIS; SIALOENDOSCOPY;
D O I
10.1017/S0022215112002319
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Aims: To evaluate modern diagnostic and therapeutic management of juvenile recurrent parotitis, and to show the benefits of operative sialoendoscopy on the basis of our experience in 14 patients and the results of others. Results: Ultrasonography is sensitive in detecting the pathological features of juvenile recurrent parotitis. Interventional sialoendoscopy is a safe and effective method of treating the disease. In our case series, after a mean follow-up time of 30 months only 5 patients experienced recurrence of symptoms, with a mean symptom-free period of 20 months. Conclusion: The use of modern, minimally invasive diagnostic tools such as colour Doppler ultrasonography, magnetic resonance sialography and sialoendoscopy represents a new frontier in the management of juvenile recurrent parotitis. Operative sialoendoscopy also has the important therapeutic benefit of reducing the number of recurrences of acute episodes of parotitis, thus giving patients a better quality of life until puberty.
引用
收藏
页码:1254 / 1260
页数:7
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