Division of Otorhinolaryngology-Head and Neck Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, U.S.A.
Department of Pathology and Laboratory Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, U.S.A.
Laryngoscope. 2023 Jun;133(6):1495-1500. doi: 10.1002/lary.30349. Epub 2022 Aug 18.
To investigate long-term outcomes, imaging, and pathologic findings in pediatric patients who underwent superficial parotidectomy for recalcitrant juvenile recurrent parotitis (JRP).
Records for 20 children (23 parotidectomies; 9 females, 11 males; age at surgery of 8.6 ± 3.7 years) collected over a 10-year period (2012-2021) were reviewed. Parents were contacted via telephone to obtain extended follow-up. A simplified scoring system was used to assess imaging findings and an additional pathologic review was conducted to further clarify the underlying disease process.
All but one patient experienced resolution of their recurrent symptoms after superficial parotidectomy. Three of the patients studied required surgery on the contralateral side, and this could be predicted based on their imaging at the time of the initial surgery. Pathologic findings included ductal fibrosis, metaplasia, and dilatation as well as parenchymal atrophy and fatty deposition. There were no major surgical complications, however, the incidence of Frey's syndrome in this sample was 43.5% of surgical sites.
For patients with frequent recalcitrant symptoms or significant quality of life impairment related to JRP, superficial parotidectomy represents a potential treatment option with the noted reduction in symptom burden following surgery. Further longitudinal studies are needed.
4 Laryngoscope, 133:1495-1500, 2023.
研究因顽固性儿童复发性腮腺炎（JRP）而行腮腺浅叶切除术的儿科患者的长期结果、影像学和病理学发现。
回顾了在 10 年期间（2012-2021 年）收集的 20 名儿童（23 例腮腺切除术；9 名女性，11 名男性；手术时年龄为 8.6±3.7 岁）的记录。通过电话联系家长以获得延长随访。使用简化评分系统评估影像学发现，并进行额外的病理复查以进一步阐明潜在的疾病过程。
除 1 例患者外，所有患者在腮腺浅叶切除术后均缓解了复发性症状。3 名研究患者需要对侧手术，这可以根据初始手术时的影像学检查进行预测。病理发现包括导管纤维化、化生和扩张以及实质萎缩和脂肪沉积。没有重大手术并发症，但该样本中 Frey 综合征的发生率为 43.5%的手术部位。
对于经常出现顽固性症状或与 JRP 相关的生活质量严重受损的患者，腮腺浅叶切除术是一种潜在的治疗选择，手术后症状负担明显减轻。需要进一步的纵向研究。
4 Laryngoscope, 133:1495-1500, 2023.
