Advertisement

Current Treatment Options in Pediatrics

, Volume 4, Issue 2, pp 237–243 | Cite as

An Update of Sialendoscopy and the Management of Benign Salivary Disorders in Children

  • Anita S. Deshpande
  • April M. Landry
Otolaryngology (EM Arjmand and D Sidell, Section Editors)
  • 24 Downloads
Part of the following topical collections:
  1. Topical Collection on Otolaryngology

Abstract

Purpose of review

We aim to provide a review of recent advances in the treatment of benign salivary gland disorders as well as an overview of these disorders.

Recent findings

Sialendoscopy is increasingly being used to diagnose and treat a variety of salivary gland disorders. Magnetic resonance sialography is emerging as a salivary gland imaging modality. Transoral submandibular gland excision is an evolving technique that eliminates external scars and potentially decreases the risk to surrounding structures. Finally, developments in oral appliances have decreased sialorrhea avoiding surgical management.

Summary

Sialendoscopy is an effective and minimally invasive method of diagnosing and treating benign salivary gland disorders. Other promising developments in this field are magnetic resonance sialography, transoral submandibular gland excision, and oral appliance therapy.

Keywords

Sialendoscopy Parotiditis Sialolithiasis Sialography Sialorrhea 

Notes

Compliance with Ethical Standards

Conflict of Interest

Anita S. Deshpande declares that she has no conflict of interest.

April M. Landry declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. 1.
    Iro H, Zenk J. Salivary gland diseases in children. GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery. 2014;13:Doc06.PubMedPubMedCentralGoogle Scholar
  2. 2.
    • Erkul E, Gillespie MB. Sialendoscopy for non-stone disorders: The current evidence. Laryngoscope Investig Otolaryngol. 2016;1(5):140–145. This paper reviews literature on the use of sialendoscopy to treat non-stone disorders, including ductal scars, juvenile recurrent parotitis, radioiodine sialadenitis, and Sjogren’s syndrome.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Martins-Carvalho C, Plouin-Gaudon I, Quenin S, Lesniak J, Froehlich P, Marchal F, et al. Pediatric sialendoscopy: a 5-year experience at a single institution. Archives of Otolaryngology—Head & Neck Surgery. 2010;136(1):33–6.CrossRefGoogle Scholar
  4. 4.
    • Schwarz Y, Bezdjian A, Daniel SJ. Sialendoscopy in treating pediatric salivary gland disorders: a systematic review. Eur Arch Oto-Rhino-Laryngol: Off J Eur Fed Oto-Rhino-Laryngological Societies (EUFOS): Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 2018;275(2):347–56. This is a systematic review evaluating the use of sialendoscopy to treat pediatric salivary gland disorders. It found that the most common gland affected was the parotid gland and the most frequent diagnosis was juvenile recurrent parotitis, followed by sialolithiasis.Google Scholar
  5. 5.
    Capaccio P, Canzi P, Gaffuri M, Occhini A, Benazzo M, Ottaviani F, et al. Modern management of paediatric obstructive salivary disorders: long-term clinical experience. Acta Otorhinolaryngol Ital: organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale. 2017;37(2):160–7.Google Scholar
  6. 6.
    Ardekian L, Klein H, Al Abri R, Marchal F. Sialendoscopy for the diagnosis and treatment of juvenile recurrent parotitis. Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale. 2014;115(1):17–21.CrossRefPubMedGoogle Scholar
  7. 7.
    Canzi P, Occhini A, Pagella F, Marchal F, Benazzo M. Sialendoscopy in juvenile recurrent parotitis: a review of the literature. Acta Otorhinolaryngol Ital: organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale. 2013;33(6):367–73.Google Scholar
  8. 8.
    Schneider H, Koch M, Kunzel J, et al. Juvenile recurrent parotitis: a retrospective comparison of sialendoscopy versus conservative therapy. Laryngoscope. 2014;124(2):451–5.CrossRefPubMedGoogle Scholar
  9. 9.
    • Ogden MA, Rosbe KW, Chang JL. Pediatric sialendoscopy indications and outcomes. Curr Opin OTolaryngol Head and Neck Surgery. 2016;24(6):529–35. This review discusses the evaluation and treatment of pediatric sialadenitis, focusing on endoscopic indications, techniques, and outcomes.CrossRefGoogle Scholar
  10. 10.
    Nahlieli O, Eliav E, Hasson O, Zagury A, Baruchin AM. Pediatric sialolithiasis. Oral Surg, Oral Medi, Oral Pathol, Oral Radiol, Endodontics. 2000;90(6):709–12.CrossRefGoogle Scholar
  11. 11.
    Lei L, Velasco O, Nobay F. Iodide mumps: a case report of complicated radioactive iodine causing sialadenitis. Am J Emerg Med. 2012;30(3):512.e515–6.CrossRefGoogle Scholar
  12. 12.
    Allweiss P, Braunstein GD, Katz A, Waxman A. Sialadenitis following I-131 therapy for thyroid carcinoma: concise communication. J Nuclear Med: Off Publ, Soc Nuclear Med. 1984;25(7):755–8.Google Scholar
  13. 13.
    Mandel SJ, Mandel L. Radioactive iodine and the salivary glands. Thyroid : Off J Am Thyroid Assoc. 2003;13(3):265–71.CrossRefGoogle Scholar
  14. 14.
    Kohat AK, Jayantee K, Phadke RV, Muthu R, Singh V, Misra UK. Beware of parotitis induced by iodine-containing contrast media. J Postgrad Med. 2014;60(1):75–6.CrossRefPubMedGoogle Scholar
  15. 15.
    Gilgen-Anner Y, Heim M, Ledermann HP, Bircher AJ. Iodide mumps after contrast media imaging: a rare adverse effect to iodine. Ann Allergy, Asthma Immunol: official publication of the American College of Allergy, Asthma, & Immunology. 2007;99(1):93–8.CrossRefGoogle Scholar
  16. 16.
    Kohri K, Miyoshi S, Nagahara A, Ohtani M. Bilateral parotid enlargement (“iodide mumps”) following excretory urography. Radiology. 1977;122(3):654.CrossRefPubMedGoogle Scholar
  17. 17.
    Kim JW, Han GS, Lee SH, Lee DY, Kim Y-M. Sialoendoscopic treatment for radioiodine induced sialadenitis. Laryngoscope. 2007;117(1):133–6.CrossRefPubMedGoogle Scholar
  18. 18.
    Bomeli SR, Schaitkin B, Carrau RL, Walvekar RR. Interventional sialendoscopy for treatment of radioiodine-induced sialadenitis. Laryngoscope. 2009;119(5):864–7.CrossRefPubMedGoogle Scholar
  19. 19.
    Nahlieli O, Nazarian Y. Sialadenitis following radioiodine therapy—a new diagnostic and treatment modality. Oral Dis. 2006;12(5):476–9.CrossRefPubMedGoogle Scholar
  20. 20.
    Vitali C, Manthorpe R. Classification criteria for Sjögren’s syndrome. Ann Rheum Dis. 2003;62(1):94–5.CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Shacham R, Puterman M, Ohana N, Nahlieli O. Endoscopic treatment of salivary glands affected by autoimmune diseases. J Oral Maxillofacial Surg: Off J Am Assoc Oral Maxillofac Surg. 2011;69(2):476–81.CrossRefGoogle Scholar
  22. 22.
    Hughes CA, Brown J. Pediatric trans-oral submandibular gland excision: a safe and effective technique. Int J Pediatr Otorhinolaryngol. 2017;93:13–6.CrossRefPubMedGoogle Scholar
  23. 23.
    Formeister EJ, Dahl JP, Rose AS. Surgical management of chronic sialorrhea in pediatric patients: 10-year experience from one tertiary care institution. Int J Pediatr Otorhinolaryngol. 2014;78(8):1387–92.CrossRefPubMedGoogle Scholar
  24. 24.
    Noonan K, Prunty S, Ha JF, Vijayasekaran S. Surgical management of chronic salivary aspiration. Int J Pediatr Otorhinolaryngol. 2014;78(12):2079–82.CrossRefPubMedGoogle Scholar
  25. 25.
    Tomiita M, Ueda T, Nagata H, Tanabe E, Shimojo N, Saito K, et al. Usefulness of magnetic resonance sialography in patients with juvenile Sjogren’s syndrome. Clin Exp Rheumatol. 2005;23(4):540–4.PubMedGoogle Scholar
  26. 26.
    Gadodia A, Seith A, Sharma R, Thakar A. MRI and MR sialography of juvenile recurrent parotitis. Pediatr Radiol. 2010;40(8):1405–10.CrossRefPubMedGoogle Scholar
  27. 27.
    Castillo-Morales R, Brondo J, Hoyer H, Limbrock GJ. Treatment of chewing, swallowing and speech defects in handicapped children with Castillo-Morales orofacial regulator therapy: advice for pediatricians and dentists. Zahnarztliche Mitteilungen. 1985;75(9):935–42. 947-951Google Scholar
  28. 28.
    Marinone S, Gaynor W, Johnston J, Mahadevan M. Castillo Morales Appliance therapy in the treatment of drooling children. Int J Pediatr Otorhinolaryngol. 2017;103:129–32.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Anita S. Deshpande
    • 1
  • April M. Landry
    • 1
    • 2
  1. 1.Department of Otolaryngology-Head and Neck SurgeryEmory University School of MedicineAtlantaUSA
  2. 2.Children’s Healthcare of Atlanta at EglestonAtlantaUSA

Personalised recommendations