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Modern management of juvenile recurrent parotitis

Published online by Cambridge University Press:  16 October 2012

P Capaccio ,
P E Sigismund ,
N Luca ,
P Marchisio  and
L Pignataro
P Capaccio
Affiliation:
Department of Specialised Surgical Sciences, Università Degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
P E Sigismund*
Affiliation:
Department of Specialised Surgical Sciences, Università Degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
N Luca
Affiliation:
Department of Specialised Surgical Sciences, Università Degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
P Marchisio
Affiliation:
Department of Maternal and Paediatric Sciences, Università Degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
L Pignataro
Affiliation:
Department of Specialised Surgical Sciences, Università Degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
*
Address for correspondence: Dr Paolo Enrico Sigismund, Via F Sforza 35, 20122 Milano, Italy Fax: +39 0250320248 E-mail: spoldazza@hotmail.it
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Abstract

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.

Keywords

SialographyUltrasonographyEndoscopyParotid GlandParotitis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 12 , December 2012 , pp. 1254 - 1260
Copyright
Copyright © JLO (1984) Limited 2012

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