Papadopoulou-Alataki E, Chatziavramidis A, Vampertzi O, Alataki S, Konstantinidis I
4 Department of Pediatrics, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Sialendoscopy Section, 2 Department of Otolaryngology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Hippokratia. 2015 Oct-Dec;19(4):356-9.
Juvenile Recurrent Parotitis (JRP) is a recurrent parotid inflammation of childhood. The aim of our study was to investigate the clinical, laboratory and imaging profile of children with JRP as well as to estimate the impact of siadendoscopy as a therapeutic tool in the clinical outcome of JRP.
Twenty-three children with JRP aged 3.5-16 years, were investigated. Twelve of them underwent sialendoscopy: seven aged <8 years under general and five aged >8 years under local anesthesia.
The age at onset ranged from 2-15 years while the number of episodes from 2-8 per year. The autoantibody profile was negative in all patients, suggesting no evidence for autoimmune diseases. Antibody deficiency was found in two children. The imaging studies reveal an overall parotid swelling and intraparotid lymph nodes while microabscesses were present in 31% of the patients. Twelve patients who underwent sialendoscopy had a significant improvement in their clinical outcome; the mean episodes of JRP before sialendoscopy was 3.9/year and reduced to 0.4 at the post-intervention year.
Sialendoscopy represents an alternative and promising perspective in the management of JRP. Hippokratia 2015; 19 (4): 356-359.
儿童复发性腮腺炎（JRP）是一种儿童期复发性腮腺炎症。我们研究的目的是调查JRP患儿的临床、实验室及影像学特征，并评估涎腺内镜作为一种治疗工具对JRP临床结局的影响。
对23例年龄在3.5至16岁的JRP患儿进行了调查。其中12例接受了涎腺内镜检查：7例年龄<8岁的患儿在全身麻醉下进行，5例年龄>8岁的患儿在局部麻醉下进行。
发病年龄在2至15岁之间，每年发作次数在2至8次之间。所有患者的自身抗体谱均为阴性，提示无自身免疫性疾病证据。在两名儿童中发现了抗体缺乏。影像学研究显示腮腺整体肿胀及腮腺内淋巴结，31%的患者存在微脓肿。接受涎腺内镜检查的12例患者临床结局有显著改善；涎腺内镜检查前JRP的平均发作次数为每年3.9次，干预后一年降至0.4次。
涎腺内镜在JRP的治疗中是一种可供选择且有前景的方法。《希波克拉底》2015年；19（4）：356 - 359。
