Ogden Margaret A, Rosbe Kristina W, Chang Jolie L
aDepartment of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine in St. Louis, St. Louis, Missouri bDepartment of Otolaryngology, Head and Neck Surgery, University of California, San Francisco, California, USA.
Curr Opin Otolaryngol Head Neck Surg. 2016 Dec;24(6):529-535. doi: 10.1097/MOO.0000000000000314.
Chronic sialadenitis can affect patients of all age ranges and typically presents as recurrent or chronic painful swelling of the salivary glands. In children, the most common cause of sialadenitis is juvenile recurrent parotitis. Salivary stones, or sialolithiasis, are a much less common cause. Historically, for patients with chronic sialadenitis who failed conservative management, salivary gland removal was the standard treatment option. Recently, however, sialendoscopy has emerged as an effective gland-preserving procedure for sialadenitis evaluation and treatment in adults and children. The aim of this review is to discuss pediatric sialadenitis evaluation and treatment, including sialendoscopy indications, technique, and outcomes.
Sialendoscopy is a well tolerated and effective treatment for sialadenitis Sialendoscopy and salivary duct irrigation have been shown to improve frequency and severity of sialadenitis episodes in patients with juvenile recurrent parotitis. Salivary stones are managed successfully with endoscopic and combined endoscopic-assisted open approaches. Minimally invasive approaches with sialendoscopy have improved the ability to preserve salivary glands in patients with recurrent sialadenitis.
Sialendoscopy is a well tolerated and effective procedure for recurrent sialadenitis in children.
慢性涎腺炎可影响所有年龄段的患者，通常表现为涎腺反复或慢性疼痛性肿胀。在儿童中，涎腺炎最常见的病因是青少年复发性腮腺炎。涎石病，即唾液腺结石，是一种不太常见的病因。从历史上看，对于保守治疗无效的慢性涎腺炎患者，唾液腺切除是标准的治疗选择。然而，最近，涎腺内镜检查已成为一种有效的保留腺体的方法，用于成人和儿童涎腺炎的评估和治疗。本综述的目的是讨论儿童涎腺炎的评估和治疗，包括涎腺内镜检查的适应症、技术和结果。
涎腺内镜检查是一种耐受性良好且有效的涎腺炎治疗方法。涎腺内镜检查和唾液导管冲洗已被证明可改善青少年复发性腮腺炎患者涎腺炎发作的频率和严重程度。唾液腺结石可通过内镜及联合内镜辅助开放手术成功治疗。涎腺内镜的微创方法提高了复发性涎腺炎患者保留唾液腺的能力。
涎腺内镜检查是一种耐受性良好且有效的儿童复发性涎腺炎治疗方法。
