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Long-Term Experience With Endoscopic Diagnosis and Treatment of Juvenile Recurrent Parotitis

PURPOSE Juvenile recurrent parotitis (JRP) is characterized by intermittent swelling of one or both parotid glands simultaneously or on different occasions. The peak incidence of JRP is between the ages of 3 and 6 years, with predominance among males. The etiology and mechanism are still unknown. The diagnosis is made on a clinical basis and is confirmed by ultrasonography or sialography. Our objective was to present our long-term experience with endoscopic diagnosis and treatment of JRP. PATIENTS AND METHODS In this clinical review we report our long-term experience in 70 children who were treated by a combined minimally invasive endoscopic method. Another 5 patients with adult-type JRP were included in the study. RESULTS In 93% of the patients a single treatment was enough to resolve this phenomenon and prevent its recurrence. CONCLUSION Sialoendoscopy and lavage of the parotid gland comprise the treatment of choice for JRP, achieving a high success rate with minimal morbidity.

The ductal stretching technique: an endoscopic-assisted technique for removal of submandibular stones.

Objective: The purpose of this study was to describe an innovative surgical technique for the removal of posterior and hilar stones of the submandibular salivary duct.