Clinical retrospective analysis of 41 cases of chronic recurrent parotitis
10.12016/j.issn.2096-1456.202550459
- Author:
ZHANG Wen
1
;
ZHANG Zhiyong
2
;
ZHANG Luxin
1
;
WU Xiaolin
2
;
LI Xiaomin
2
;
JIA Bo
3
;
BAO Lijie
2
Author Information
1. Foshan Dongfeng Dental Co., LTD. Shicheng Dental Clinic
2. Department of Radiology, Stomatological Hospital, Southern Medical University
3. Department of Oral and Maxillofacial Surgery, Stomatological Hospital, Southern Medical University
- Publication Type:Journal Article
- Keywords:
chronic recurrent parotitis;
chronic suppurative parotitis;
chronic obstructive parotitis;
Sjögren′s syndrome;
parotid duct;
accessory parotid gland;
sialography;
lipiodol;
antibiotic irrigation;
ambroxol hydro⁃ chloride injection;
thrombolytic therapy
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2025;33(12):1053-1061
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical manifestations and treatment plans of chronic recurrent parotitis (CRP), and to provide a reference for the clinical diagnosis and treatment of CRP.
Methods: Approval was obtained from the hospital’s Medical Ethics Committee, and a retrospective analysis and summary of the clinical features, imaging characteristics, diagnosis, and treatment of 41 CRP patients with complete data were performed.
Results:Among the 41 patients with CRP, 14 were male and 27 were female, with a male-to-female ratio of approximately 1:2 (14/27). The age at first-time onset ranged from 3 to 23 years, with a median age of 6 years, and there were 38 patients (92.7%, 38/41) with the first onset age of under 18 years old. The age of the first visit to our hospital ranged from 4 to 72 years old, with an average age of (41.0 ± 17.3) years; the disease duration was 0.5 to 66 years, with an average of 35.0 ± 16.1 years. Twenty-five cases had bilateral parotid gland involvement (61.0%, 25/41). The clinical manifestations of CRP are repeated swelling of one or both parotid glands, along with discomfort, and this may be accompanied by mild edema or skin flushing and pus or jelly-like secretions at the duct openings. The typical manifestations of parotid angiography are: the dominant duct and branch ducts of the parotid gland do not have specific dilation or narrowing, and the peripheral ducts show characteristic “punctate, spherical, or cavitary” dilation and delayed emptying. Of the cases, 34 had abnormal enlargement of the main duct orifice (82.9%, 34/41), and 37 presented with abnormal anterior displacement of the accessory glands (90.2%, 37/41). The treatment plan of “antibiotic perfusion + aspiration and removal of obstruction (or aspiration after obstruction dissolution)+ postprandia massage along the direction of the parotid duct (from posterior to anterior) with multiple courses for consolidation”achieved favorable outcomes. The mean follow-up period of this group was(71.1+21.9)months, and no recurrence was observed during the follow-up period.
Conclusion:CRP is more prevalent in young females and frequently presents with bilateral involvement. Congenital anatomical defects, such as abnormal enlargement of the main duct orifice and abnormal anterior displacement of the accessory glands, are important predisposing factors. The multi-course comprehensive therapy centered on antibiotic infusion, removal and dissolution of obstructions, and post-prandial massage along the direction of the parotid duct has significant therapeutic effects and deserves clinical application.
- Full text:202512181448511674341例慢性复发性腮腺炎临床回顾性分析.pdf
