Chronic recurrent parotitis is characterised by repeated inflammatory episodes of the parotid gland, frequently driven by narrowing within the salivary duct system. A structured interventional protocol exists to address this directly.

Clinical Approach

The core of management is a procedural technique to mechanically widen ductal strictures within the parotid gland. This is followed by intraductal treatment and, where appropriate, measures to help maintain patency over the following weeks.

Adjunctive systemic and supportive care is also part of the structured regimen to reduce the risk of early recurrence.

The complete protocol — including device selection, intraductal therapy details, stenting considerations, and the full post-procedure regimen — is available via the link below.

References

The next step, if there is no improvement, is to insert the sialoballoon.
Another technique to dilate strictures is to expand the stricture region with a miniforceps grasper.
After the procedure, we inject 100 mg of hydrocortisone solution intraductally.

DOI: 10.1016/j.joms.2004.05.116

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What Is the Treatment of Chronic Recurrent Parotitis?

References