Salivary Gland Disorders in Children and Adolescents: A 15-year Experience
AUTOR(ES)
Gellrich, Donata; Bichler, Moritz; Reichel, Christoph A.; Schrötzlmair, Florian; Zengel, Pamela
FONTE
Int. Arch. Otorhinolaryngol.
DATA DE PUBLICAÇÃO
2020-03
RESUMO
Abstract Introduction Diseases of the salivary glands are rare in children and adolescents, with the exception of viral-induced infections. Objective To determine the clinical course of the disease, the diagnostic procedures, the treatment and the outcome of all children and adolescents affected with salivary gland diseases at our clinic over a period of 15 years. Methods A retrospective chart review including a long-term follow-up was conducted among 146 children and adolescents treated for salivary gland disorders from 2002 to 2016. Results Diagnosing acute sialadenitis was easily managed by all doctors regardless of their specialty. The diagnosis of sialolithiasis was rapidly made only by otorhinolar- yngologists, whereas diagnosing juvenile recurrent parotitis imposed difficulties to doctors of all specialties - resulting in a significant delay between the first occurrence of symptoms and the correct diagnosis. The severity-adjusted treatment yielded improve- ments in all cases, and a full recovery of 75% of the cases of sialolithiasis, 73% of the cases of juvenile recurrent parotitis, and 100% of the cases of acute sialadenitis. Conclusions Due to their low prevalence and the lack of pathognomonic symptoms, salivary gland diseases in children and adolescents are often misdiagnosed, resulting in an unneces- sarily long period of suffering despite a favorable outcome following the correct treatment.
Documentos Relacionados
- Patch-test results in children and adolescents: systematic review of a 15-year period
- Clinicopathological analysis of salivary gland tumors over a 15-year period
- Prognostic factors and overall survival in a 15-year followup of patients with malignant salivary gland tumors: a retrospective analysis of 193 patients
- Venomous snakebites in children and adolescents: a 12-year retrospective review
- Breastfeeding and behavior disorders among children and adolescents: a systematic review