ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Sialendoscopy Treatment for Juvenile Recurrent Parotitis Safe, Effective

by Amy Hamaker • June 12, 2015

  • Tweet
  • Email
Print-Friendly Version

Clinical Question

How effective and safe is sialendoscopy for the treatment of juvenile recurrent parotitis (JRP)?

You Might Also Like

  • Is Sialendoscopy an Effective Treatment for Obstructive Salivary Gland Disease?
  • Upfront Sialendoscopy Is a Cost-Effective Option for RAIS
  • Sialendoscopy More Cost-Effective than Medical Management with Diagnostic Ultrasound for RAIS
  • Gland-Preserving Approach to Chronic Sialadienitis Has Successful Outcomes
Explore This Issue
June 2015

Background: JRP, the most common inflammatory salivary gland disorder in children in the United States and second only to mumps worldwide, is defined as recurrent episodes of inflammatory parotitis. JRP treatment aims to prevent damage to the gland parenchyma and alleviate patient symptoms. Although the medical treatment has traditionally been the mainstay management, sialendoscopy washout has also been described in the literature as successful.

Study design: A comprehensive literature review of seven studies.

Setting: MEDLINE, Embase, the Cochrane Library, and Google Scholar databases.

Synopsis: The overall population of the studies was 120 children, involving 165 glands (male:female ratio 75:45; average age 7.8 years). Bilateral symptoms were present in 47 of these patients. Sialendoscopy was conducted under general anesthesia in six of the seven publications. The most common endoscopic finding was blanched mucosal appearance (without visible vessels). Other prominent findings included stenotic ducts, dilatations, mucous plugs, and intraductal debris. The most common complication after sialendoscopy was transient swelling of the salivary gland. The weighted pooled proportion of success rates for no further episodes after sialendoscopy by patient was 73% and by gland, 81%. The weighted pooled proportion of success rates for no further sialendoscopy by patient was 87%. There were no major complications reported. Limitations included evidence at levels 3 and 4, small population sizes, short follow-up times, and the possibility of steroid and antibiotic treatment acting as a confounder.

Bottom line: Results suggest that sialendoscopy is effective and safe for the treatment of JRP and may be offered to appropriate patients.

Citation: Ramakrishna J, Strychowsky J, Gupta M, Sommer DD. Sialendoscopy for the management of juvenile recurrent parotitis: a systematic review and meta-analysis. Laryngoscope. 2015;125:1472-1479.

Filed Under: Head and Neck, Literature Reviews, Pediatric Tagged With: juvenile recurrent parotitis, pediatrics, sialendoscopyIssue: June 2015

You Might Also Like:

  • Is Sialendoscopy an Effective Treatment for Obstructive Salivary Gland Disease?
  • Upfront Sialendoscopy Is a Cost-Effective Option for RAIS
  • Sialendoscopy More Cost-Effective than Medical Management with Diagnostic Ultrasound for RAIS
  • Gland-Preserving Approach to Chronic Sialadienitis Has Successful Outcomes

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Weaning Patients Off of PPIs
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.