2nd Academic ORL Department, Papageorgiou Hospital, Aristotle University, School of Medicine, Thessaloniki, Greece.
4th Department of Pediatrics, Aristotle University, School of Medicine, Papageorgiou Hospital, Thessaloniki, Greece.
Laryngoscope. 2021 Jun;131(6):1404-1409. doi: 10.1002/lary.29187. Epub 2020 Oct 24.
OBJECTIVE/HYPOTHESIS: Current literature has confirmed the benefits of sialendoscopy for the treatment of juvenile recurrent parotitis (JRP). However, this procedure is often performed unilaterally, although the disease can affect both sides. This article investigated the clinical course of the contralateral parotid (CL) gland in children requiring unilateral sialendoscopy with the goal of clarifying the necessity of primary bilateral sialendoscopy.
Prospective cohort study in a tertiary center.
Over an eight-year period, 77 children with JRP underwent unilateral sialendoscopy. We observed the clinical course of the CL parotid over a minimum follow-up period of 24 months. New episodes of sialadenitis were recorded on both sides along with the need for a second sialendoscopy. These data were correlated with the preoperative symptoms of the contralateral side as well as ultrasound (U/S) findings at baseline assessment.
In total, six children required sialendoscopy on the CL side (7.8%), 62 children remained asymptomatic or with scarce swellings (80.5%), and nine children improved (11.7%). The preoperative U/S findings on the CL side positively correlated with the number of postoperative swellings. The proportion of children needing CL sialendoscopy was higher (21.4%) among children needing a second sialendoscopy on the operated side.
In the long term, the vast majority of children needing unilateral sialendoscopy do not require similar treatment of the CL parotid gland. However, a history of bilateral swellings along with U/S findings of parenchymal disorganization on the CL side significantly increases the risk of needing further sialendoscopy at a later time.
4 Laryngoscope, 131:1404-1409, 2021.
目的/假说：目前的文献已经证实唾液腺镜检查术治疗青少年复发性腮腺炎（JRP）的益处。然而，该手术通常是单侧进行的，尽管该疾病可能会影响双侧。本文研究了需要单侧唾液腺镜检查术的儿童对侧腮腺（CL）的临床过程，目的是阐明对侧行双侧唾液腺镜检查术的必要性。
在一个三级中心进行的前瞻性队列研究。
在八年期间，77 名 JRP 患儿接受了单侧唾液腺镜检查术。我们观察了 CL 腮腺的临床过程，随访时间至少为 24 个月。记录双侧新发作的唾液腺炎以及需要再次进行唾液腺镜检查的情况。这些数据与对侧术前症状以及基线评估时的超声（U/S）结果相关联。
共有 6 名儿童（7.8%）需要对 CL 侧进行唾液腺镜检查术，62 名儿童（80.5%）无症状或仅有少量肿胀，9 名儿童（11.7%）有所改善。CL 侧的术前 U/S 结果与术后肿胀的数量呈正相关。需要对手术侧进行第二次唾液腺镜检查的儿童中，需要 CL 唾液腺镜检查术的比例（21.4%）更高。
从长期来看，绝大多数需要单侧唾液腺镜检查术的儿童不需要对 CL 腮腺进行类似的治疗。但是，双侧肿胀的病史以及 CL 侧实质组织紊乱的 U/S 发现显著增加了以后需要进一步唾液腺镜检查术的风险。
4 Laryngoscope, 131:1404-1409, 2021.
