Francis Carrie L, Larsen Christopher G
Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA; Division of Pediatric Otolaryngology, Children's Mercy Hospitals and Clinics, 2401 Gillham Road, Kansas City, MO 64108, USA.
Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA; Division of Pediatric Otolaryngology, Children's Mercy Hospitals and Clinics, 2401 Gillham Road, Kansas City, MO 64108, USA.
Otolaryngol Clin North Am. 2014 Oct;47(5):763-78. doi: 10.1016/j.otc.2014.06.009. Epub 2014 Aug 13.
Sialadenitis in the pediatric population accounts for up to 10% of all salivary gland disease. Viral parotitis and juvenile recurrent parotitis are the two most common causes. Multiple factors, independently or in combination, can result in acute, chronic, or recurrent acute salivary gland inflammation. Sialendoscopy has emerged as the leading diagnostic technique and intervention for pediatric sialadenitis. Sialendoscopy is a safe and effective gland-preserving treatment of pediatric sialadenitis. Investigational studies are needed to address the impact of steroid instillation, postoperative stenting, and long-term outcomes of pediatric sialendoscopy. This article presents a comprehensive review of pathophysiology, clinical presentation, diagnosis, and treatment of pediatric sialadenitis.
小儿涎腺炎占所有涎腺疾病的比例高达10%。病毒性腮腺炎和青少年复发性腮腺炎是最常见的两个病因。多种因素单独或共同作用,可导致急性、慢性或复发性急性涎腺炎症。涎腺内镜已成为小儿涎腺炎的主要诊断技术和干预手段。涎腺内镜是一种安全有效的保留腺体的小儿涎腺炎治疗方法。需要进行研究以探讨类固醇灌注、术后支架置入及小儿涎腺内镜长期疗效的影响。本文对小儿涎腺炎的病理生理学、临床表现、诊断和治疗进行了全面综述。