Pediatric sialendoscopy: An 11-year study from a single tertiary care center. (April 2020)

• Record Type: Journal Article
• Authors: Kanerva, Mervi; Tapiovaara, Laura; Aro, Katri; Saarinen, Riitta
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 131(2020:Apr.)
• Publication Date: 2020-04
• Subjects: Sialolithiasis -- Child -- Recurrent juvenile parotitis -- Submandibular gland -- Parotid gland; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2020.109869
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: Objectives: To evaluate the suitability, benefits, and limitations of sialendoscopy for pediatric patients. Methods: We performed a retrospective analysis of all pediatric sialendoscopy patients (aged 16 years or younger) in our tertiary care institution between September 2007 and October 2018. We characterized patient data, procedure-related factors, complications, and outcomes. Results: In total, 55 sialendoscopies were performed on 42 patients. Among these, 36 were diagnostic endoscopies and 19 were interventional. Five endoscopies were performed under local anesthesia. We identified 16 sialolithiasis patients, where removal of a sialolith was possible in 11 (69%) cases; one case required a second endoscopy. We removed two sialoliths under local anesthesia. Among recurrent juvenile parotitis (RJP) patients, 18/20 (90%) were symptom-free after a single sialendoscopy, and all after a second endoscopy. The median follow-up time was 70 months. We achieved a 95% success rate in sialendoscopies, with a failure-to-treat rate of 15%. The complication rate for the study cohort was 2%, with prolonged parotid swelling the only complication encountered. Conclusions: Sialendoscopy represented a safe and effective method to treat pediatric patients. Local anesthesia was successful in selected cases, even for sialolith removal. Sialendoscopy had a soothing effect on RJP and the majority of sialoliths were suitable for endoscopic removal.