Ardekian L, Klein H, Al Abri R, Marchal F
Rambam Medical Center, Department of Oral and Maxillofacial Surgery, bat Galim, Haifa, 35254, Israel.
Rambam Medical Center, Department of Oral and Maxillofacial Surgery, bat Galim, Haifa, 35254, Israel.
Rev Stomatol Chir Maxillofac Chir Orale. 2014 Feb;115(1):17-21. doi: 10.1016/j.revsto.2013.12.005. Epub 2014 Jan 24.
The aim of the current study was to analyze the use of sialendoscopy for the diagnosis and treatment of juvenile recurrent parotitis (JRP), note possible complications, and the rate of disease recurrence. We believe that this cutting edge procedure may be very effective both for the diagnosis and treatment of JRP, with few complications and low rates of recurrence.
A retrospective descriptive case study was conducted on a sample of patients presenting with JRP. Data was collected from the patient's medical records. Diagnostic sialendoscopy was performed to identify and classify the ductal pathology, treated by interventional therapeutic sialendoscopy. We carefully noted all complications and the disease recurrence rates.
The patient sample included 50 children presenting with JRP (33 M, 17 F; age range: 2 to 16 years). Seven children presented with bilateral parotitis, the remaining 43 with unilateral parotitis. The study was conducted from 2003 to 2012. There was a statistically significant association between sialendoscopic data and the actual outcome. Seven children underwent additional sialendoscopy because of recurrence. They were all in the group of children presenting with unilateral parotitis.
Our results validate the expected outcome. Sialendoscopy is an accurate technique for the diagnosis of JPR, and an effective tool for the treatment of JRP, with a low rate of complications and recurrence.
本研究旨在分析涎腺内镜在儿童复发性腮腺炎（JRP）诊断和治疗中的应用，记录可能出现的并发症及疾病复发率。我们认为这种前沿技术对JRP的诊断和治疗可能非常有效，并发症少且复发率低。
对一组JRP患者进行回顾性描述性病例研究。从患者病历中收集数据。通过诊断性涎腺内镜检查来识别和分类导管病变，并采用介入性治疗性涎腺内镜进行治疗。我们仔细记录了所有并发症及疾病复发率。
患者样本包括50例JRP儿童（男33例，女17例；年龄范围：2至16岁）。7例儿童为双侧腮腺炎，其余43例为单侧腮腺炎。研究时间为2003年至2012年。涎腺内镜检查数据与实际结果之间存在统计学显著关联。7例儿童因复发接受了额外的涎腺内镜检查。他们均属于单侧腮腺炎儿童组。
我们的结果证实了预期结果。涎腺内镜是诊断JPR的准确技术，也是治疗JRP的有效工具，并发症和复发率低。
