Importance: Juvenile recurrent @entity8174 (JRP) is characterized by recurrent @entity158 that occurs in the pediatric population. Sialendoscopy with and without ductal corticosteroid infusion (DCI) has been found to be effective in the treatment of JRP and @entity792 . Objective: To determine the utility of instrumentation vs pharmacotherapy alone for juvenile recurrent @entity8174 . Design, Setting, and @entity1 : A retrospective medical record review of pediatric @entity1 undergoing DCI without sialendoscopy at a tertiary pediatric hospital was conducted. The medical records were reviewed to determine the frequency of @entity8174 events before and after treatment. A multiquestion telephone survey of @entity1 and their parents who underwent the procedure was then conducted to determine @entity1 satisfaction. Interventions: Ductal corticosteroid infusion with @entity701 through catheter inserted in the parotid duct. Main Outcomes and Measures: Frequency of symptoms before and after treatment and parental satisfaction with the treatment. Results: Twelve @entity1 with a mean age of 6.7 years were identified. The mean duration and frequency of symptoms before the procedure were 22 months and every 2 months, respectively. Five @entity1 had a recurrence, on average 4 months after the procedure. Four @entity1 underwent repeated surgical procedures. All had a longer duration between episodes compared with before DCI. Eight parents participated in the survey on satisfaction with the procedure, and 75% reported improvement in their @entity1 's life postprocedure. Conclusions and Relevance: Current literature shows sialendoscopy with corticosteroid application is successful in treating JRP, but it is unclear whether corticosteroid application alone would treat JRP equally. This study shows that DCI alone has similar results as sialendoscopy with corticosteroid application, indicating that it is the corticosteroid application and not the sialendoscopy causing improvement in symptoms. Because JRP must be differentiated from sialolithiasis, we recommend ultrasonography of the involved parotid(s) prior to using DCI alone to ensure no stone is present. Sialendoscopy should be reserved to rule out other parotid ductal pathologic conditions.

Treatment of Juvenile Recurrent XXXX of Childhood: An Analysis of Effectiveness.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Participants', 'child'] @entity8174 :: ('MESH:D010309', 'Disease') :: ['parotitis'] @entity701 :: ('MESH:D006854', 'Chemical') :: ['hydrocortisone'] @entity158 :: ('MESH:D010146', 'Disease') :: ['painful swelling of the parotid gland'] @entity792 :: ('MESH:D001327', 'Disease') :: ['autoimmune parotitis']
@entity8174 :: (MESH:D010309,Disease) :: ['Parotitis']
