Parotitis surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Parotitis}} | {{Parotitis}} | ||
{{CMG}} | {{CMG}} {{AE}} {{LRO}} | ||
==Overview== | |||
Surgery is recommended for parotitis caused by [[salivary duct stones]], [[abscess]] from bacterial infection, [[parotid gland neoplasia]], and recurrent parotitis of unknown etiology of which non-surgical therapies fail to resolve the disease. Sialendoscopy is preferred to relieve [[salivary duct stone]]-based parotitis due to the minimally-invasive nature of the procedure. [[Abscess]] drainage is performed by superficial incision. Partial or total parotidectomy is performed to remove [[neoplasia]] and when recurrent parotitis does not respond to non-surgical therapy. It is not recommended unless necessary due to the likelihood of complications. | |||
==Surgery== | |||
===Sialendoscopy=== | |||
*Sialendoscopy is used to relieve parotitis caused by [[salivary duct stone]] obstruction. | |||
*It is a minimally-invasive surgical procedure to remove [[salivary gland]] stones using graspers, miniforceps, Dormia baskets and balloons.<ref name="pmid21509260">{{cite journal |vauthors=Al-Abri R, Marchal F |title=New era of Endoscopic Approach for Sialolithiasis: Sialendoscopy |journal=Sultan Qaboos Univ Med J |volume=10 |issue=3 |pages=382–7 |year=2010 |pmid=21509260 |pmc=3074741 |doi= |url=}}</ref> | |||
**Stones with diameter <3mm: stone is removed directly.<ref name="pmid17957846">{{cite journal |vauthors=Capaccio P, Torretta S, Ottavian F, Sambataro G, Pignataro L |title=Modern management of obstructive salivary diseases |journal=Acta Otorhinolaryngol Ital |volume=27 |issue=4 |pages=161–72 |year=2007 |pmid=17957846 |pmc=2640028 |doi= |url=}}</ref> | |||
**Stones with diameter >3mm: stone is fragmented beforehand using concentrated [[laser|lasers]]. | |||
===[[Abscess]] drainage=== | |||
*Parotitis caused by an [[abscess]] from [[bacterial]] infection can be relieved by incision and drainage. | |||
===Parotidectomy=== | |||
*Partial or total surgical removal of the [[parotid gland]] is used for parotitis caused by a maligant or benign [[neoplasm]], as well as recurrent parotitis of unknown etiology.<ref name="pmid8902688">{{cite journal |vauthors=Sadeghi N, Black MJ, Frenkiel S |title=Parotidectomy for the treatment of chronic recurrent parotitis |journal=J Otolaryngol |volume=25 |issue=5 |pages=305–7 |year=1996 |pmid=8902688 |doi= |url=}}</ref> | |||
== | *Surgical intervention is usually only recommended when other therapies are insufficient due to the difficulty of the procedure and likelihood of the following complications:<ref name="pmid16450773">{{cite journal |vauthors=Marchese-Ragona R, De Filippis C, Marioni G, Staffieri A |title=Treatment of complications of parotid gland surgery |journal=Acta Otorhinolaryngol Ital |volume=25 |issue=3 |pages=174–8 |year=2005 |pmid=16450773 |pmc=2639867 |doi= |url=}}</ref> | ||
**[[Facial paralysis]] from interference in the [[vasa nervorum]] | |||
**[[Frey's syndrome]] | |||
**[[Trismus|Difficulty opening mouth]] | |||
**[[Hypoesthesia]] of [[greater auricular nerve]] | |||
==References== | ==References== | ||
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{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Glands]] | |||
[[Category: | [[Category:Inflammations]] | ||
[[Category: | |||
Latest revision as of 18:38, 18 September 2017
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Parotitis Microchapters |
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Treatment |
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Parotitis surgery On the Web |
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American Roentgen Ray Society Images of Parotitis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.
Overview
Surgery is recommended for parotitis caused by salivary duct stones, abscess from bacterial infection, parotid gland neoplasia, and recurrent parotitis of unknown etiology of which non-surgical therapies fail to resolve the disease. Sialendoscopy is preferred to relieve salivary duct stone-based parotitis due to the minimally-invasive nature of the procedure. Abscess drainage is performed by superficial incision. Partial or total parotidectomy is performed to remove neoplasia and when recurrent parotitis does not respond to non-surgical therapy. It is not recommended unless necessary due to the likelihood of complications.
Surgery
Sialendoscopy
- Sialendoscopy is used to relieve parotitis caused by salivary duct stone obstruction.
- It is a minimally-invasive surgical procedure to remove salivary gland stones using graspers, miniforceps, Dormia baskets and balloons.[1]
Abscess drainage
Parotidectomy
- Partial or total surgical removal of the parotid gland is used for parotitis caused by a maligant or benign neoplasm, as well as recurrent parotitis of unknown etiology.[3]
- Surgical intervention is usually only recommended when other therapies are insufficient due to the difficulty of the procedure and likelihood of the following complications:[4]
- Facial paralysis from interference in the vasa nervorum
- Frey's syndrome
- Difficulty opening mouth
- Hypoesthesia of greater auricular nerve
References
- ↑ Al-Abri R, Marchal F (2010). "New era of Endoscopic Approach for Sialolithiasis: Sialendoscopy". Sultan Qaboos Univ Med J. 10 (3): 382–7. PMC 3074741. PMID 21509260.
- ↑ Capaccio P, Torretta S, Ottavian F, Sambataro G, Pignataro L (2007). "Modern management of obstructive salivary diseases". Acta Otorhinolaryngol Ital. 27 (4): 161–72. PMC 2640028. PMID 17957846.
- ↑ Sadeghi N, Black MJ, Frenkiel S (1996). "Parotidectomy for the treatment of chronic recurrent parotitis". J Otolaryngol. 25 (5): 305–7. PMID 8902688.
- ↑ Marchese-Ragona R, De Filippis C, Marioni G, Staffieri A (2005). "Treatment of complications of parotid gland surgery". Acta Otorhinolaryngol Ital. 25 (3): 174–8. PMC 2639867. PMID 16450773.