Sialadenitis and sialendoscopy in children and adolescents

Introduction Sialadenitis in children is common. Typical symptoms are swelling and pain. A rare form is the juvenile recurrent parotitis (JRP). The pathogenesis is often unclear, various therapeutic approaches are discussed. Conservative treatments (such as antibiotics and gland massages) are primarily performed. In extreme cases, parotidectomies may be indicated. Sialendoscopy is available as a minimal-invasive procedure.

Material &amp; Methods A retrospective analysis was carried out between 2010 and 2018 (ICD10 K11.2, <18 years). 107 patients could be identified. The average follow-up time was 29.4 months. In the case of JRP or after sialendoscopy patients were contacted via telephone.

Results 59.8 % of the affected were boys, 40.2 % girls. In 28.1 % (m) and 23.3 % (f) the diagnosis JRP was made. The mean age at onset of symptoms was 3.4 years (JRP) and 11.1 years (non JRP). A total of 16 sialendoscopies were performed, in 9 cases the parotid gland, in 7 cases the mandible gland. A reduction in JRP-associated episodes (3.67 ? 2.33) could be achieved.

Discussion JRP is a rare, enervating disease. If conservative measures are insufficient, sialendoscopy can be performed as a minimal-invasive intervention, if necessary, several times. Surgical gland removal has become almost obsolete.

Summary: Sialadenitis is a common disease in children and usually conservative feasible. Sialendoscopy is a valuable minimal-invasive method, especially for JRP.

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Publication History

Article published online:
10 June 2020