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Recurrent Parotitis of Childhood

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41. Use of Low-level Laser Therapy on Children Aged One to Five Years With Energy-protein Malnutrition

, Radiant energy (J)= 4, Number of points irradiated=10, Irradiated area (cm2) =0.40, Application method= Contact, Number of treatment sessions= 3, Frequency of treatment sessions per week =1, Total radiant energy (J) =40. Secondary Outcome Measures : Length/Height [ Time Frame: 1 week ] Length - A wooden measuring board (also called sliding board) will be used for measuring the length of children under two years old to the nearest millimetre. Height - This is measured with the child in a standing (...) position. Weight [ Time Frame: 1 week ] A weighing sling (spring balance), also called the 'Salter Scale' will be used for measuring the weight of children under two years old, to the nearest 0.1 kg. Children over two years a beam balance will be used and the measurement is also to the nearest 0.1 kg. Saliva flow rate measurement [ Time Frame: 3 weeks ] Salivary flow rates can be reduced significantly in individuals who have suffered severe malnutrition in early childhood. Saliva parameters of children

2017 Clinical Trials

42. Pediatric primary Sjögren syndrome presenting with bilateral ranulas: A case report and systematic review of the literature. (Abstract)

of which were excluded as not clinically pertaining to Sjögren syndrome. An additional 25 were excluded due to lack of pediatric-specific data. Systematic review of the literature revealed no reports of ranula in association with Sjögren syndrome. 6 papers were manually included from review of reference lists of included articles. Our review indicated that recurrent parotitis is the most commonly reported presenting symptom in children, followed by ocular and oral symptoms, musculoskeletal, and renal (...) symptoms. Compared to adults, children are less likely to present with dry eyes and mouth.All studies were retrospective chart reviews, case series or case reports.This is the first report of a child presenting with floor of mouth ranulas in association with Sjögren syndrome. While recurrent parotitis is the most common presentation in children, other salivary gland and extra-salivary manifestations may be seen, and the clinician must maintain a high index of suspicion for underlying Sjögren

2017 International Journal of Pediatric Otorhinolaryngology

43. Salivary gland endoscopy in children: A systematic review. (Full text)

undergoing with ages ranging from 1 to 16 years. All studies except one underwent SE under general anesthesia. The juvenile recurrent parotitis was the main clinical diagnosis related with SE procedures (N=152). The number of inflammatory attacks per patient per year was the parameter for indication of SE. The efficacy of the procedure was considered high by all authors ranging between 83 and 93% in larger series evaluated.Sialendoscopy is a safe and effective procedure for the diagnosis and treatment (...) of recurrent inflammatory diseases of salivary glands in children.

2016 Revista da Associacao Medica Brasileira (1992) PubMed abstract

44. Salivary endoscopy in a pediatric patient with HLA-B27 seropositivity and recurrent submandibular sialadenitis. (Abstract)

Salivary endoscopy in a pediatric patient with HLA-B27 seropositivity and recurrent submandibular sialadenitis. Patients with human leukocyte antigen (HLA)-B27 seropositivity have a genetic predisposition to form spondyloarthropathies, especially ankylosing spondylitis. Other related inflammatory or autoimmune disorders include reactive arthritis, uveitis, psoriatic arthritis, and Crohn's disease. Although juvenile recurrent parotitis is not uncommon, recurrent submandibular sialadenitis (...) is rare in pediatric patients. Sialadenitis is typically caused by salivary stones, infection, or duct stricture. To our knowledge, there has not been report of HLA-B27 positivity and recurrent sialadenitis described previously. We describe a patient with HLA-B27 seropositivity and multiple episodes of left submandibular sialadenitis who underwent diagnostic and therapeutic sialendoscopy. Previous treatment included antibiotics, sialogogues, warm compresses, and hydration before he underwent

2013 International Journal of Pediatric Otorhinolaryngology

45. Immunizations - childhood

vaccine offered as part of the UK childhood immunization programme since 2013) is over 85% effective at protecting against severe rotavirus gastroenteritis in infants up to two years of age. From 2000 to 2013, the number of faecal specimens testing positive for rotavirus in England and Wales fluctuated between 13,000 and nearly 17,000, with the highest numbers in children younger than 5 years of age [ ]. CKS found no UK data on the impact of the UK rotavirus immunization schedule. However, data from (...) be given to children older than 6 weeks and younger than 15 weeks old and the second dose should only be given to infants younger than 24 weeks old to minimize the risk of bowel intussusception. Give boosters and subsequent vaccinations following the . Leave at least one month between DTaP/IPV/Hib/HepB doses and two months between PCV and MenB doses (for example if the primary course is started close to the child's first birthday). For an algorithm outlining the requirements for children who have

2018 NICE Clinical Knowledge Summaries

46. Recurrent Parotitis as a Presentation of Primary Pediatric Sjogren Syndrome. (Full text)

recurrent bilateral parotitis, however, and we describe 4 such cases in children aged 9 to 17 years at presentation. Despite lack of ocular complaints, 3 of these patients had ocular findings on ophthalmologic exam. Our patients also exhibited classic laboratory abnormalities, including positive antinuclear antibody, SS A, and SS B antibodies; presence of rheumatoid factor; and hypergammaglobulinemia. Consideration of SS in the child with recurrent parotitis is important for timely and appropriate (...) Recurrent Parotitis as a Presentation of Primary Pediatric Sjogren Syndrome. Parotitis is a common condition seen in the pediatric population, usually as an isolated occurrence associated with viral or bacterial infection. The differential diagnosis expands when recurrent parotitis is encountered. One etiology is primary pediatric Sjögren syndrome (SS), an autoimmune condition typically associated with dryness of the eyes and mouth in adults. Pediatric patients often present with isolated

2011 Pediatrics PubMed abstract

47. Mandibular osteomyelitis in children mimicking juvenile recurrent parotitis. (Abstract)

Mandibular osteomyelitis in children mimicking juvenile recurrent parotitis. To describe pediatric cases with mandibular osteomyelitis initially diagnosed and treated as juvenile recurrent parotitis.We reviewed the patient data of all our pediatric patients treated at Helsinki University Central Hospital, a tertiary care hospital, between 1998 and 2010 who had the initial diagnosis of recurrent parotitis which in fact was osteomyelitis.Over a period of 12 years, six children (aged 5-17 years (...) , five girls) presented with mandibular osteomyelitis primarily diagnosed as recurrent parotitis. Diagnostic delay ranged from 1.5 months to 6.0 years before the final diagnosis of mandibular osteomyelitis confirmed in MRI. Of the six cases undergoing biopsies, bacterial culture showed Actinomyces or Streptococcus viridans in four cases. All patients received antimicrobial treatment. Two received hyperbaric oxygen therapy with no resolution of symptoms. Debridement was performed in these two cases

2011 International Journal of Pediatric Otorhinolaryngology

48. Parotitis

punctate parotitis (chronic autoimmune parotitis) Although acute bacterial parotitis is fairly well understood, chronic enlargement of the salivary glands with recurring infection has caused confusion for more than a century. Numerous terms found in the literature, such as Mikulicz disease, Sjögren syndrome, benign lymphoepithelial lesion of Godwin, chronic punctate sialectasis, and recurrent parotitis of childhood (as seen in the image below), are confusing to the physician. Sialography was commonly (...) used in the workup of parotid disease in the past, and this group demonstrates punctate sialectasis, which implies point like dilatations within the gland. Six-year-old girl with recurrent parotitis of childhood. Mikulicz disease Johann Mikulicz-Radecki (1850-1905), a professor of surgery in Breslau, Poland, trained under Theodore Billroth of Vienna. In 1888, he encountered a 42-year-old farmer who had experienced lachrymal gland swellings followed by enlargement of the submaxillary and parotid

2014 eMedicine Surgery

49. Parotid Tumors, Benign

01, 2019 Author: Sanford Dubner, MD; Chief Editor: Deepak Narayan, MD, FRCS Share Email Print Feedback Close Sections Sections Benign Parotid Tumors Significance Salivary gland disorders are not a major public health problem in the Western world. Neoplasms of the salivary glands account for fewer than 3% of tumors in the US and only 6% of head and neck neoplasms. Salivary gland tumors in children are uncommon, but the frequency of malignant tumors is higher in children than in adults. (For more (...) information, see Medscape Reference article .) All masses in children require thorough diagnostic evaluation. Benign masses of the parotid gland in children may be due to vasoformative abnormalities, cysts, inflammatory processes, or neoplasms. The most common intraparotid mass is the benign lymph node, as a significant number of lymph nodes are present in the parotid. The most common benign tumor in children is the . Of the benign epithelial tumors, the mixed tumor (pleomorphic adenoma) is the most

2014 eMedicine Surgery

50. Parotid Tumors, Malignant

and history of prior cutaneous lesion or parotid lesion excision. Slow-growing masses of long-standing duration tend to be benign. A history of prior , , or suggests intraglandular metastasis or metastasis to parotid lymph nodes. Prior parotid tumor most likely indicates a recurrence because of inadequate initial resection. Trismus often indicates advanced disease with extension into the masticatory muscles or, less commonly, invasion of the temporomandibular joint. or a sensation of a foreign body (...) lymph node involvement or extension of the tumor into the deep lobe or parapharyngeal space. CT scan criteria for lymph node metastasis include any lymph node larger than 1-1.5 cm in greatest diameter, multiple enlarged nodes, and nodes displaying central necrosis. Lymph nodes harboring metastasis also may appear round rather than the normal kidney bean shape, and evidence of extracapsular extension may be identified. A study by Mamlouk et al of pediatric patients with parotid neoplasms indicated

2014 eMedicine Surgery

51. Surgical excision of sialoblastoma in the parotid gland in newborn. (Abstract)

Surgical excision of sialoblastoma in the parotid gland in newborn. To evaluate outcome of surgical excision of sialoblastoma in the parotid gland in newborn.This was a retrospective review of 3 pediatric patients with sialoblastoma in the parotid gland that underwent surgical resections. All patients are newborn boys. The lesions ranged from 5 cm × 5 cm to 8 cm × 5 cm in size. The tumor was resected en bloc, and the facial nerve was preserved.None surgical complications occurred. The mean (...) follow-up was 34 months; none patients had recurrent lesions.Surgical dissection of sialoblastoma in the parotid gland in the newborn is most efficient and safe.Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

2013 International Journal of Pediatric Otorhinolaryngology

52. Pediatric sialoblastoma: Evaluation and management. (Abstract)

in the English-language literature. The presentation, evaluation, and management of reported cases were analyzed. We also report an invasive and recurrent case in a pediatric patient to highlight the aggressive nature of these lesions.Sixty-two cases of pediatric sialoblastoma were reviewed. The age at initial presentation ranged from before birth to 15 years. The parotid gland was the most common location (n = 47). Surgical excision was the primary treatment in all patients. Nine patients developed (...) metastatic disease of the lung, lymph nodes, or bone. Almost a third of patients had recurrence and over two thirds of patients were tumor-free for at least 1 year following their last treatment intervention.Prompt and complete surgical excision should be recommended to prevent local and systemic recurrence of pediatric sialoblastoma. Chemotherapy has also shown promise in several cases, and clinical genomics may shed light on more therapy options. Patients should be closely followed for at least 12

2016 International Journal of Pediatric Otorhinolaryngology

53. Pediatric malignant salivary gland tumors: 60 year follow up. (Abstract)

of their disease (overall survival = 50%). On long term follow up survey in 13 patients (25%), 100% reported normal facial movement and 54% described symptoms of Frey's syndrome, which is higher than other reported series in children. Recurrence was noted up to 45 years after initial treatment.The majority of malignant pediatric salivary gland tumors are low grade and have excellent survival, especially if found at an early stage. Minor salivary gland malignancies, particularly high grade, have a worse (...) Pediatric malignant salivary gland tumors: 60 year follow up. To evaluate the presentation, treatments and outcomes in pediatric patients with salivary gland malignancies.Retrospective chart review (1950-2012), Prospective phone interview.Patients ≤18 years old with a salivary gland malignancy treated at our institution were identified. Patients were also contacted by phone for a follow up survey.Fifty-six patients were identified. Tumor origin was 88% parotid (n = 49), 5% (n = 3) submandibular

2016 International Journal of Pediatric Otorhinolaryngology

54. Pediatric salivary gland carcinomas: Diagnostic and therapeutic management. (Full text)

Pediatric salivary gland carcinomas: Diagnostic and therapeutic management. To analyze clinical presentations, treatment modalities, and evolution of pediatric cases of salivary gland carcinomas to standardize care for these rare diseases.Multicentric, retrospective study.We included in this retrospective study all children and adolescents (aged ≤18 years) treated from 1992 to 2012 in six pediatric centers in Paris, France. Pathological tumor specimens of these cases were reviewed.Forty-three (...) children were included (sex ratio male/female = 19/24, median age = 13 years). The parotid gland was the most common (37 cases) location for tumors. Histological subtypes were mucoepidermoid carcinomas (n = 20), acinic cell carcinomas (n = 14), and other (n = 9). Initial fine-needle aspiration was performed in 15 cases (33%), and was concordant to final diagnosis in three cases (20%). Primary surgery was performed in 42 patients, leading to a complete microscopic resection in 80%. Associated lymph node

2016 Laryngoscope PubMed abstract

55. Effectiveness and costs of sialendoscopy in pediatric patients with salivary gland disorders. (Abstract)

sialendoscopy had significantly higher costs of care during the period of observation compared to those who did not have a procedure, without a statistically significant difference in outcomes.Sialendoscopy is an effective tool for stone retrieval in pediatric sialolithiasis. Juvenile recurrent parotitis patients who underwent sialendoscopy had outcomes similar to those selected for conservative therapy, calling into question whether the substantially higher care costs can be justified. Further prospective (...) to a salivary gland disorder from 2002 to 2014.Fifty patients were identified with an average age of 7.5 years at presentation. Eighty percent (40/50) of cases were diagnosed with juvenile recurrent parotitis (JRP), and 15 underwent sialendoscopy. The other 10 (20%) patients presented with sialolithiasis. These patients had a higher average age at presentation (12.4 vs. 6.3 years), and the majority were successfully removed with sialendoscopic techniques. Juvenile recurrent parotitis patients who underwent

2015 Laryngoscope

56. Pediatric Sialendoscopy: Initial experience in a pediatric otolaryngology group practice. (Full text)

as an alternative to continued antibiotic therapy or surgical gland excision. Data collected included age, gender, indications for surgery, intraoperative findings, complications, recurrences, follow-up intervals, and need for additional procedures.Twelve pediatric patients underwent sialendsocopy (9 cases of juvenile recurrent parotitis, 3 cases of chronic submandibular sialadenitis. Intraoperative findings included ductal stricture (n = 8), thick intraductal mucus (n = 6), and ductal calculus (n = 1 (...) a sialendoscopy procedure.Sialendoscopy was successfully implemented as a safe and effective technique for management of recurrent and chronic parotid and submandibular sialadenitis in a pediatric otolaryngology practice.4.© 2014 The American Laryngological, Rhinological and Otological Society, Inc.

2014 Laryngoscope PubMed abstract

57. Unusual Cancers of Childhood Treatment (PDQ®): Health Professional Version

guidelines or recommendations for making health care decisions. This summary is reviewed regularly and updated as necessary by the PDQ Pediatric Treatment Editorial Board, which is editorially independent of the National Cancer Institute (NCI). The summary reflects an independent review of the literature and does not represent a policy statement of NCI or the National Institutes of Health (NIH). General Information About Unusual Cancers of Childhood Introduction Cancer in children and adolescents is rare (...) , although the overall incidence of childhood cancer has been slowly increasing since 1975.[ ] Referral to medical centers with multidisciplinary teams of cancer specialists experienced in treating cancers that occur in childhood and adolescence should be considered for children and adolescents with cancer. This multidisciplinary team approach incorporates the skills of the primary care physician, pediatric surgeons, radiation oncologists, pediatric medical oncologists/hematologists, rehabilitation

2016 PDQ - NCI's Comprehensive Cancer Database

58. Childhood Vascular Tumors Treatment (PDQ®): Health Professional Version

should be undertaken in consultation with a pediatric vascular anomaly specialist with expertise in the diagnosis and treatment of pediatric vascular tumors and in the use of propranolol in children. In accord with an expert consensus panel, it is suggested that hospitalization for initiation of oral propranolol be considered in the following circumstances:[ ] - Infant aged 5 weeks or younger (corrected for gestational age). - Infant of any age with inadequate social support. - Infant of any age (...) being conducted: (Nadolol Versus Propranolol in Children With Infantile Hemangioma) : This randomized, controlled, double-blinded study at Toronto Sick Kids is evaluating the efficacy and safety of both groups (nadolol and propranolol). Inclusion is for patients with hemangiomas that require systemic treatment. (Efficacy, Safety, and Pharmacokinetics of Topical Timolol in Infants With Infantile Hemangioma [TIM01]) : This is a multicenter, double-masked, randomized, efficacy, safety

2016 PDQ - NCI's Comprehensive Cancer Database

59. Childhood Non-Hodgkin Lymphoma Treatment (PDQ®): Health Professional Version

of non-Hodgkin lymphoma in childhood and adolescence. Br J Haematol 131 (1): 39-49, 2005. [ ] Attarbaschi A, Dworzak M, Steiner M, et al.: Outcome of children with primary resistant or relapsed non-Hodgkin lymphoma and mature B-cell leukemia after intensive first-line treatment: a population-based analysis of the Austrian Cooperative Study Group. Pediatr Blood Cancer 44 (1): 70-6, 2005. [ ] Kobrinsky NL, Sposto R, Shah NR, et al.: Outcomes of treatment of children and adolescents with recurrent non (...) , and occurs infrequently in children younger than 3 years.[ ] NHL in infants is very rare (1% in Berlin-Frankfurt-Münster [BFM] trials from 1986 to 2002).[ ] The incidence of NHL is increasing overall because of a slight increase in the incidence for those aged 15 to 19 years; however, the incidence of NHL in children younger than 15 years has remained constant over the past several decades.[ ] Sex: Childhood NHL is more common in males than in females, with the exception of primary mediastinal B-cell

2016 PDQ - NCI's Comprehensive Cancer Database

60. Role of high resolution ultrasound in parotid lesions in children. (Abstract)

Role of high resolution ultrasound in parotid lesions in children. A pictorial review of the spectrum of sonographic abnormalities of the parotid gland in children is presented.Two pediatric radiologists performed retrospective review of medical records and imaging findings of all parotid ultrasounds performed in 298 children in the age range of 24 days to 16 years, over a five-year period.The lesions varied from diffuse glandular abnormalities to discrete solid and cystic lesions. Of the 298 (...) studies reviewed, 148 (49.6%) were normal results, while 150 (50.4%) had abnormalities of parotid gland identified at ultrasonography. These included acute parotitis in 54 (36%) cases, recurrent parotitis in 12 (8%), and intra-parotid abscess in 12 (8%) cases. Among the tumors, haemangioma was the commonest, identified in 16 (10.6%) cases, followed by lymphatic malformation in 3 (2%), Hodgkin's disease 2 (1.3%) and pleomorphic adenoma (1 case). Sialadenosis was identified in 4 (2.6%) cases

2011 International Journal of Pediatric Otorhinolaryngology

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