{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T01:27:04Z","timestamp":1720574824151},"reference-count":248,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Speicheldr\u00fcsenerkrankungen im Kindesalter sind, abgesehen von den viral induzierten Erkrankungen, insgesamt gesehen eher selten. Dennoch ist es f\u00fcr den HNO-Arzt unerl\u00e4sslich, auch diese seltenen Erkrankungen bei Kindern und Heranwachsenden zu erkennen und zu diagnostizieren, um dann auch die richtigen therapeutischen Schritte einzuleiten. Die hier vorliegende Arbeit gibt einen \u00dcberblick \u00fcber das gesamte Spektrum der angeborenen und erworbenen Erkrankungen der Speicheldr\u00fcsen im Kindes- und Jugendalter. Es wurde dabei, soweit m\u00f6glich, die aktuelle Literatur zu den einzelnen Themenkomplexen ausgewertet und f\u00fcr den Leser in den wichtigsten Fakten zusammengefasst. Es konnten neben angeborenen Erkrankungen der Speicheldr\u00fcsen die wichtigsten \u00c4tiologien f\u00fcr virale und bakterielle Entz\u00fcndungen, Autoimmunerkrankungen und auch die Tumoren der Speicheldr\u00fcsen in diesem Lebensalter ber\u00fccksichtigt werden. Neben den bekannten Fakten werden auch neue Entwicklungen in der Diagnostik, Bildgebung und der Therapie, einschlie\u00dflich der Sialendoskopie, bei den obstruktiven Erkrankungen und der chronisch rezidivierenden juvenilen Sialadenitis ber\u00fccksichtigt. Auch auf m\u00f6gliche systemische Ursachen von Speicheldr\u00fcsenschwellungen und auf die Behandlung der Sialorrhoe wird eingegangen. Auch wenn die Erkrankungen der Speicheldr\u00fcsen im Kindesalter meist im Spektrum der Pathologie des Erwachsenen enthalten sind, unterscheiden sie sich doch in ihrer H\u00e4ufigkeit und gelegentlich auch ihrer Symptomatik. Dar\u00fcber hinaus werden bei der Diagnostik und insbesondere bei der operativen Therapie von Speicheldr\u00fcsenerkrankungen weniger invasive und auch strengere Indikationen gestellt. Aufgrund der Seltenheit von Tumoren der Speicheldr\u00fcsen ist es auf jeden Fall zu empfehlen, diese in Zentren mit gr\u00f6\u00dferer chirurgischer Erfahrung zu therapieren.<\/jats:p><jats:p>Von entscheidender Bedeutung ist dennoch die Kenntnis der differenzial-diagnostischen M\u00f6glichkeiten im Kindesalter, auch in der HNO-Praxis, um eine ad\u00e4quate Therapie einzuleiten.<\/jats:p>","DOI":"10.1055\/s-0033-1363969","type":"journal-article","created":{"date-parts":[[2014,4,7]],"date-time":"2014-04-07T23:41:20Z","timestamp":1396914080000},"page":"S103-S125","source":"Crossref","is-referenced-by-count":2,"special_numbering":"S","title":["Speicheldr\u00fcsenerkrankungen im Kindesalter"],"prefix":"10.1055","volume":"93","author":[{"given":"H.","family":"Iro","sequence":"additional","affiliation":[{"name":"Hals-Nasen-Ohrenklinik, Kopf- und Halschirurgie des Universit\u00e4tsklinikums Erlangen, Universit\u00e4t Erlangen-N\u00fcrnberg \u00ad(Direktor: Prof. Dr. Dr. H. Iro)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Zenk","sequence":"additional","affiliation":[{"name":"Hals-Nasen-Ohrenklinik, Kopf- und Halschirurgie des Universit\u00e4tsklinikums Erlangen, Universit\u00e4t Erlangen-N\u00fcrnberg \u00ad(Direktor: Prof. Dr. Dr. H. Iro)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2014,4,7]]},"reference":[{"key":"ref1","first-page":"980","article-title":"The diameter of the Stenon and Wharton ducts. 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