ENT,  NECK

Parotitis 

  • caused by
    • duct obstruction (such as sialolithiasis)
    • infectious organisms (viruses-mumps, cmv, echovirus, influenza or bacteria)
    • inflammatory conditions (such as Sjogren syndrome, rheumatoid arthritis, systemic lupus erythematosus, and sarcoidosis). 
  • Predisposing factors
    • Dehydration
    • Malnutrition
    • Immunosuppression
    • Sialolithiasis
    • oral neoplasms
    • medications causing decreased salivation 
  • Symptoms
    • pain and discomfort
    • glandular enlargement and swelling
    • dry mouth
    • fever
  • management
    • primarily symptomatic control
      • application of heat
      • gentle glandular massage
      • sialagogues
      • adequate hydration.
      • NSAIDS
    • Consult otolaryngology early for incision and drainage for cases of acute parotitis refractory to conservative measures of hydration and antibiotics.

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