Juvenile Recurrent Parotitis: The Role of Sialendoscopy.

Efimia Papadopoulou-Alataki,Angelos Chatziavramidis,Panagiotis Dogantzis,Kyriaki Chiona,Sofia Alataki,Iordanis Konstantinidis,Panagiota Karananou

doi:10.1155/2019/7278907

Efimia Papadopoulou-Alataki, Angelos Chatziavramidis + Show 5 more

Open Access

https://doi.org/10.1155/2019/7278907

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Abstract

Juvenile recurrent parotitis (JRP) is a recurrent parotid inflammation of nonobstructive, nonsuppurative nature. It manifests in childhood and usually resolves after puberty but may also persist into adulthood. JRP is characterized by recurrent episodes of unilateral or/and bilateral parotid swelling with pain, reduction of salivary secretion, swallowing difficulty, fever, and malaise. The cause of this condition remains obscure. Throughout the last two decades, many therapeutic methods have been used in order to reduce the frequency and severity of JRP. During the acute episodes, conservative approaches (antibiotics, analgesics, sialogogues, massage of the parotid gland, and mouth rinses) are used. Parotidectomy has been suggested in rare selective occasions. Recently, a promising concept of sialendoscopy, which is a minimal invasive endoscopic technique, has been applied. This review outlines the literature on JRP focusing on methods and challenges in diagnosing JRP along with the differential diagnosis of JRP and the function of the parotid during JRP. In addition, we describe the treatment options for JRP, pointing out the importance of sialendoscopy as a diagnostic and treatment procedure that offers improvement in patients' daily life.

Highlights

Juvenile recurrent parotitis is presented with recurrent episodes of swelling of the parotid salivary gland
The theory of Juvenile recurrent parotitis (JRP) being an immunopathological disorder of the mucosa-associated lymphoid tissue (MALT) and a predecessor of a benign lymphoepithelial lesion has been suggested. is theory is supported by histological studies of different stages of chronic recurrent parotitis, which show progressively increasing periductal inflammation and formation of lymph follicles alongside the destruction of the normal structure of the parotid [5]
The symptoms of xerostomia become noticeable only after the salivary output is reduced by 50%. is apart from the feeling of dry mouth can mean cracked, atrophic, and dehydrated lips. e tongue can appear reddened with absence of papillation

Summary

Clinical Presentation

Juvenile recurrent parotitis is presented with recurrent episodes of swelling of the parotid salivary gland. It is characterized by acute unilateral or bilateral parotid inflammation. Saliva is of paramount importance to every function the mouth and oral cavity are responsible for. It contains enzymes such as amylase and lipase that are important for digestion of food. In JRP, due to the inflammation of the parotid, the function of the gland is affected based on quantity and quality of saliva changes. Predisposing factors of salivary gland inflammatory cycle are dehydration that diminishes saliva flow, infection that induces inflammation, congenital ductal abnormalities, and autoimmune duct destruction affecting ductal histology [7]. A patient with JRP is suffering from the symptoms of the acute phase like pain, fever, and malaise, but is in danger of all the manifestations of xerostomia. ese along with painful swelling cause disability and hinder socialization, attendance to school and nonschool associated activities, especially in childhood

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