Deep sedation for pediatric parotid sialendoscopy in juvenile recurrent parotitis

Pasquale Capaccio, Andrea Palermo, Paolo Lucchinelli, Tiziana Marchesi, Sara Torretta, Michele Gaffuri, Paola Marchisio, Lorenzo Pignataro

Research output: Contribution to journalArticlepeer-review

Abstract

Sialendoscopy is a minimally invasive diagnostic and therapeutic tool for juvenile recurrent parotitis (JRP); the procedure is under general anesthesia, but local anesthesia has been used for sialendoscopy in children >8 years. Based on the experience in children with sedation for gastrointestinal endoscopy, we investigated the reliability and safety of deep sedation for sialendoscopy in JRP. Six children (3 females, 6–13 years) with episodes of parotid swelling underwent interventional (duct dilation and steroid irrigation) sialendoscopy with intravenous bolus of 1 mg/kg propofol and 1 mcg/kg fentanyl, and continuous infusion of 2 mg/kg/h propofol. Sialendoscopy under deep sedation was successfully performed in all the patients; the procedure was well tolerated, without any adverse effects. One event of full awakening was registered and promptly solved without needing to interrupt the procedure. Effectiveness of sialendoscopy under deep sedation was subjectively attested by high positive scores obtained at post‐operative standardized questionnaires administered to the patients and their parents, and objectively by the lack of clinical recurrences during the follow‐up. The combination of propofol and fentanyl seems to be a reliable and safe means of sedating children with JRP undergoing sialendoscopy.

Original languageEnglish
Article number276
Pages (from-to)1-8
Number of pages8
JournalJournal of Clinical Medicine
Volume10
Issue number2
DOIs
Publication statusPublished - Jan 2 2021

Keywords

  • Juvenile recurrent parotitis
  • Pediatric age
  • Sedation
  • Sialendoscopy

ASJC Scopus subject areas

  • Medicine(all)

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