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Oral and Maxillofacial Surgery

Published in:

22-07-2022 | Sialendoscopy | Research

Non-neoplastic salivary gland diseases in children: a 10-year review at a tertiary center

Authors: Jonas Ver Berne, Katrien Brijs, Ruxandra Coropciuc, Constantinus Politis

Published in: Oral and Maxillofacial Surgery | Issue 4/2023

Abstract

Objectives

Non-neoplastic salivary gland diseases are rare in children. This paper aims to present the spectrum of encountered non-neoplastic salivary gland diseases at a tertiary center by describing the demographics, clinical characteristics, and outcomes in this patient population.

Methods

A review of electronic medical records was performed from 2010 until 2020. Relevant data were retrieved and charted according to the type of salivary gland disease. A comparison between diseases was made for demographics, presenting symptoms, treatment, and outcomes.

Results

Fifty patients with 11 different non-neoplastic salivary gland diseases were identified. Sialolithiasis was the most prevalent condition (12/50), with 83% localized in the submandibular gland. In contrast to gender, age, and symptoms, the location of pathology was significantly associated with the diagnosis (p < 0.001). In patients with sialolithiasis, a hybrid procedure (combined endoscopy and lithotomy) resulted in 100% resolution of symptoms. For (plunging) ranula, marsupialisation had a relative risk of recurrence of 9.6 compared to (partial) extirpation of the sublingual gland.

Conclusions

Children with salivary gland diseases present with overlapping symptoms, making clinical diagnosis challenging. The present study may aid physicians and specialists in diagnosing the most prevalent conditions in children. Although no gold standards exist for their treatment, hybrid procedures (sialolithiasis) and subglingual gland extirpation (ranula) showed superior results over alternatives.

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Title: Non-neoplastic salivary gland diseases in children: a 10-year review at a tertiary center
Authors: Jonas Ver Berne
Katrien Brijs
Ruxandra Coropciuc
Constantinus Politis
Publication date: 22-07-2022
Publisher: Springer Berlin Heidelberg
Keywords: Sialendoscopy
Sublingual Cyst
Inflammation of the Salivary Gland
Sialolithiasis
Salivary Gland Disease
Salivary Gland Disease
Sialolithiasis
Ranula
Sialadenitis
Published in: Oral and Maxillofacial Surgery / Issue 4/2023
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-022-01103-9

At a glance: The STEP trials

Springer Medicine

Non-neoplastic salivary gland diseases in children: a 10-year review at a tertiary center

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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