Radioiodine therapy induced sialadenitis versus chronic idiopathic sialadenitis—Presentation and outcomes
Background This study explores the unique characters of high dose radioactive iodine (RAI) induced chronic sialadenitis. Methods A retrospective study of patients having received salivary endoscopy and followed in our outpatient clinic. Results A total of 100 patients met the inclusion criteria, 75...
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| Veröffentlicht in: | Head & neck 2021-09, Vol.43 (9), p.2724-2730 |
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| creator | Gilat, Hanna Vainer, Igor Avishai, Gal Maymon, Shiri L. Alkan, Uri Hod, Roy Robenshtock, Eyal Friedman, Sivan Shpitzer, Thomas |
| description | Background
This study explores the unique characters of high dose radioactive iodine (RAI) induced chronic sialadenitis.
Methods
A retrospective study of patients having received salivary endoscopy and followed in our outpatient clinic.
Results
A total of 100 patients met the inclusion criteria, 75 were diagnosed with chronic idiopathic sialoadenitis and 25 with radio‐iodine induced sialoadenitis (RIS). The main complaint in both groups was swelling of the parotid gland. Pain, dysphagia, and xerostomia were observed considerably more in the RIS group. During sialo‐endoscopy, fibrosis of the Stensen's duct was more common in the RIS group (p = 0.003). RIS patients group generally managed better with interventional endoscopic treatment alone (80% vs. 46%).
Conclusion
RIS patients have distinct clinical characteristics. There may be a collateral muscular damage to the masticatory muscles. Fibrosis and parenchymal damage are major findings during sialendoscopy. Sialendoscopy is a safe and efficient treatment for RAI induced sialadenitis. |
| doi_str_mv | 10.1002/hed.26741 |
| format | Article |
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This study explores the unique characters of high dose radioactive iodine (RAI) induced chronic sialadenitis.
Methods
A retrospective study of patients having received salivary endoscopy and followed in our outpatient clinic.
Results
A total of 100 patients met the inclusion criteria, 75 were diagnosed with chronic idiopathic sialoadenitis and 25 with radio‐iodine induced sialoadenitis (RIS). The main complaint in both groups was swelling of the parotid gland. Pain, dysphagia, and xerostomia were observed considerably more in the RIS group. During sialo‐endoscopy, fibrosis of the Stensen's duct was more common in the RIS group (p = 0.003). RIS patients group generally managed better with interventional endoscopic treatment alone (80% vs. 46%).
Conclusion
RIS patients have distinct clinical characteristics. There may be a collateral muscular damage to the masticatory muscles. Fibrosis and parenchymal damage are major findings during sialendoscopy. Sialendoscopy is a safe and efficient treatment for RAI induced sialadenitis.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.26741</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>chronic sialadenitis ; Dysphagia ; Endoscopy ; Fibrosis ; Iodine ; Mastication ; Muscles ; Parotid gland ; Patients ; radiation myopathy ; radioactive iodine ; salivary ; Sialoadenitis ; Xerostomia</subject><ispartof>Head & neck, 2021-09, Vol.43 (9), p.2724-2730</ispartof><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3301-8bd65250314c950629f1aefd2a4c9a7ea5e0a64d5c5c2cf2e7db57a76c5432133</citedby><cites>FETCH-LOGICAL-c3301-8bd65250314c950629f1aefd2a4c9a7ea5e0a64d5c5c2cf2e7db57a76c5432133</cites><orcidid>0000-0002-2043-1962 ; 0000-0001-7957-5680</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.26741$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.26741$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids></links><search><creatorcontrib>Gilat, Hanna</creatorcontrib><creatorcontrib>Vainer, Igor</creatorcontrib><creatorcontrib>Avishai, Gal</creatorcontrib><creatorcontrib>Maymon, Shiri L.</creatorcontrib><creatorcontrib>Alkan, Uri</creatorcontrib><creatorcontrib>Hod, Roy</creatorcontrib><creatorcontrib>Robenshtock, Eyal</creatorcontrib><creatorcontrib>Friedman, Sivan</creatorcontrib><creatorcontrib>Shpitzer, Thomas</creatorcontrib><title>Radioiodine therapy induced sialadenitis versus chronic idiopathic sialadenitis—Presentation and outcomes</title><title>Head & neck</title><description>Background
This study explores the unique characters of high dose radioactive iodine (RAI) induced chronic sialadenitis.
Methods
A retrospective study of patients having received salivary endoscopy and followed in our outpatient clinic.
Results
A total of 100 patients met the inclusion criteria, 75 were diagnosed with chronic idiopathic sialoadenitis and 25 with radio‐iodine induced sialoadenitis (RIS). The main complaint in both groups was swelling of the parotid gland. Pain, dysphagia, and xerostomia were observed considerably more in the RIS group. During sialo‐endoscopy, fibrosis of the Stensen's duct was more common in the RIS group (p = 0.003). RIS patients group generally managed better with interventional endoscopic treatment alone (80% vs. 46%).
Conclusion
RIS patients have distinct clinical characteristics. There may be a collateral muscular damage to the masticatory muscles. Fibrosis and parenchymal damage are major findings during sialendoscopy. Sialendoscopy is a safe and efficient treatment for RAI induced sialadenitis.</description><subject>chronic sialadenitis</subject><subject>Dysphagia</subject><subject>Endoscopy</subject><subject>Fibrosis</subject><subject>Iodine</subject><subject>Mastication</subject><subject>Muscles</subject><subject>Parotid gland</subject><subject>Patients</subject><subject>radiation myopathy</subject><subject>radioactive iodine</subject><subject>salivary</subject><subject>Sialoadenitis</subject><subject>Xerostomia</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kE1OwzAQRi0EEqWw4AaWWLFI6584JktUCkWqBEKwtlx7ori0drATUHccghNyEgJhwYbVfCO9b0Z6CJ1SMqGEsGkNdsIKmdM9NKKklBnhudz_zjnPOJH5ITpKaU0I4UXORuj5QVsXXLDOA25riLrZYedtZ8Di5PRGW_CudQm_QkxdwqaOwTuDXV9rdFv38S_2-f5xHyGBb3XrgsfaWxy61oQtpGN0UOlNgpPfOUZP1_PH2SJb3t3czi6XmeGc0OxiZQvBBOE0N6UgBSsrqqGyTPe7lqAFEF3kVhhhmKkYSLsSUsvCiJwzyvkYnQ13mxheOkitWocu-v6lYkKUhFDOyp46HygTQ0oRKtVEt9VxpyhR3y5V71L9uOzZ6cC-uQ3s_gfVYn41NL4AIHh40w</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Gilat, Hanna</creator><creator>Vainer, Igor</creator><creator>Avishai, Gal</creator><creator>Maymon, Shiri L.</creator><creator>Alkan, Uri</creator><creator>Hod, Roy</creator><creator>Robenshtock, Eyal</creator><creator>Friedman, Sivan</creator><creator>Shpitzer, Thomas</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0002-2043-1962</orcidid><orcidid>https://orcid.org/0000-0001-7957-5680</orcidid></search><sort><creationdate>202109</creationdate><title>Radioiodine therapy induced sialadenitis versus chronic idiopathic sialadenitis—Presentation and outcomes</title><author>Gilat, Hanna ; Vainer, Igor ; Avishai, Gal ; Maymon, Shiri L. ; Alkan, Uri ; Hod, Roy ; Robenshtock, Eyal ; Friedman, Sivan ; Shpitzer, Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3301-8bd65250314c950629f1aefd2a4c9a7ea5e0a64d5c5c2cf2e7db57a76c5432133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>chronic sialadenitis</topic><topic>Dysphagia</topic><topic>Endoscopy</topic><topic>Fibrosis</topic><topic>Iodine</topic><topic>Mastication</topic><topic>Muscles</topic><topic>Parotid gland</topic><topic>Patients</topic><topic>radiation myopathy</topic><topic>radioactive iodine</topic><topic>salivary</topic><topic>Sialoadenitis</topic><topic>Xerostomia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gilat, Hanna</creatorcontrib><creatorcontrib>Vainer, Igor</creatorcontrib><creatorcontrib>Avishai, Gal</creatorcontrib><creatorcontrib>Maymon, Shiri L.</creatorcontrib><creatorcontrib>Alkan, Uri</creatorcontrib><creatorcontrib>Hod, Roy</creatorcontrib><creatorcontrib>Robenshtock, Eyal</creatorcontrib><creatorcontrib>Friedman, Sivan</creatorcontrib><creatorcontrib>Shpitzer, Thomas</creatorcontrib><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gilat, Hanna</au><au>Vainer, Igor</au><au>Avishai, Gal</au><au>Maymon, Shiri L.</au><au>Alkan, Uri</au><au>Hod, Roy</au><au>Robenshtock, Eyal</au><au>Friedman, Sivan</au><au>Shpitzer, Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radioiodine therapy induced sialadenitis versus chronic idiopathic sialadenitis—Presentation and outcomes</atitle><jtitle>Head & neck</jtitle><date>2021-09</date><risdate>2021</risdate><volume>43</volume><issue>9</issue><spage>2724</spage><epage>2730</epage><pages>2724-2730</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background
This study explores the unique characters of high dose radioactive iodine (RAI) induced chronic sialadenitis.
Methods
A retrospective study of patients having received salivary endoscopy and followed in our outpatient clinic.
Results
A total of 100 patients met the inclusion criteria, 75 were diagnosed with chronic idiopathic sialoadenitis and 25 with radio‐iodine induced sialoadenitis (RIS). The main complaint in both groups was swelling of the parotid gland. Pain, dysphagia, and xerostomia were observed considerably more in the RIS group. During sialo‐endoscopy, fibrosis of the Stensen's duct was more common in the RIS group (p = 0.003). RIS patients group generally managed better with interventional endoscopic treatment alone (80% vs. 46%).
Conclusion
RIS patients have distinct clinical characteristics. There may be a collateral muscular damage to the masticatory muscles. Fibrosis and parenchymal damage are major findings during sialendoscopy. Sialendoscopy is a safe and efficient treatment for RAI induced sialadenitis.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><doi>10.1002/hed.26741</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2043-1962</orcidid><orcidid>https://orcid.org/0000-0001-7957-5680</orcidid></addata></record> |
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| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | chronic sialadenitis Dysphagia Endoscopy Fibrosis Iodine Mastication Muscles Parotid gland Patients radiation myopathy radioactive iodine salivary Sialoadenitis Xerostomia |
| title | Radioiodine therapy induced sialadenitis versus chronic idiopathic sialadenitis—Presentation and outcomes |
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