Parotitis surgery

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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 recalcitrant infections, abscess drainage, and to obtain tissue if a noninfectious cause is suspected.

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]
    • Stones with diameter <3mm: stone is removed directly.[2]
    • Stones with diameter >3mm: stone is fragmented beforehand using concentrated lasers.

Abscess drainage

  • Parotitis caused by an abscess from bacterial infection can be relieved by drainage.

Parotidectomy

References

  1. 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.
  2. 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.

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