Unilateral parotid swelling after general anaesthesia. Both parotid glands may be simultaneously involved. A very visible facial swelling in the region of the left parotid gland. Clinicopathological characteristics of described cases in the literature. Mumps parotitis is characterized by the rapid, painful swelling of one or both parotid glands within 2 to 3 weeks after exposure to the mumps virus. We report on a further case of a 34yearold woman with agenesis of the left parotid gland and lipoma of the right cheek. Congenital unilateral agenesis of the parotid gland is a rare condition with only few cases reported in the literature. You can also try massaging the affected gland or applying warm compresses to the affected area. Demonstration of a reliable sonographic appearance would reduce the need.
Chow, in mandell, douglas, and bennetts principles and practice of infectious diseases eighth edition, 2015. Although not as common as unilateral parotid enlar gement, bilateral parotid gland enlargement has a wide differential diagnosis, which encompasses. Parotid gland enlargement in children is most commonly secondary to infectious and inflammatory lesions. Bilateral recurrent parotid gland swelling after endoscopy. Acute suppurative parotitis asp is estimated to occur in less than 4 in 10,000 hospital admissions for newborns. Two had bilateral and 4 unilateral parotid involvement. Common symptoms include fever, headache and bilateral or unilateral parotitis swelling of the parotid gland on one or both sides of the face. Swelling of the face particularly in front of the ears, below the jaw, or on the floor of the mouth signs and tests an examination by the health care provider or dentist shows enlarged salivary glands. Although unilateral parotid swelling is more frequently seen, bilateral parotid swelling. Postaci a, aytac i, oztekin cv, dikmen b 2012 acute unilateral parotid gland swelling after lateral decubitus position under.
The cause was definitely a parotid duct calculus in 36 patients, and evidence is presented that the same diagnosis probably applied to another 59 patients. Parotitis differential diagnoses medscape reference. Congenital unilateral agenesis of the parotid gland. Parotitis infectious disease and antimicrobial agents. An unusual case of acute unilateral parotitis following. Wegeners granuloma presenting as a unilateral parotid. Sialadenosis of the salivary glands journal of plastic. An algorithm approach to diagnosing bilateral parotid. The gland may be painful, particularly with bacterial infections. The resulting parotid swelling is usually unilateral, although the incidence of bilateral parotid involvement has been reported to vary from 15% to 25%. Salivary gland disorders include inflammatory, bacterial, viral, and neoplastic etiologies. A prodromal phase of preauricular pain, fever, chills, and headache may be present see chapter 159.
Beckman 19 and ranhin and bean 1930 have unilateral parotid swelling after general anaestbesia j. Blunt trauma to the parotid gland emergency medicine journal. The right treatment depends on the cause, type of infection, and any other symptoms causing the pain and swelling. The presentation can be acute, recurrent, or chronic. A method of incising parotid abscess without injury to the facial nerve distribution. It should be emphasized that kimuras disease has to be taken into account while making differential diagnosis in parotid gland swellings, especially in people of. Hemangioendothelioma of the parotid gland in infants.
Algorithm for determining the etiology of salivary gland swelling. Acute post operative unilateral submandibular gland. A large parotid gland in transverse scan showing a diffuse and increased echogenicity without signs of stones or focal or diffuse alterions. In severe cases it can be associated with subcutaneous emphysema pathology. Pdf bilateral parotid swelling in a childa case report. A 45yearold woman initially presented for evaluation of a 6month history of intermittent left facial swelling and pain. Acute suppurative parotitis is a rarely seen infection in childhood, which is characterized by parotid gland swelling and pus drainage from the stensons duct.
Summary the clinical features of 109 patients with recurrent unilateral parotid swelling 24 patients with sjogrens disease were excluded. Unilateral parotid gland swelling as the sole presenting symptom of. Although unilateral parotid swelling is more frequently seen, bilateral parotid swelling is not uncommon. Parotid swelling usually occurs 1618 days after exposure to the virus.
One year previously she was diagnosed as having myalgic encephalomyelitis following a long period of postviral malaise. Get a printable copy pdf file of the complete article 1. Most all of the cultured bacteria were from organisms present in the oral cavity, which. Request pdf recurrent unilateral swelling of the parotid gland a 45yearold woman initially presented for evaluation of a 6month history of intermittent left facial swelling and pain. Parotid enlargement also known as parotidomegaly has a wide differential given the significant breadth of pathology that can affect the parotid gland. Full text get a printable copy pdf file of the complete article 1. Recurrent unilateral swelling of the parotid gland. Recurrent unilateral swelling of the parotid gland gut. Pdf acute unilateral parotid gland swelling after lateral decubitus. Involved glands continue to enlarge for 23 days and return to normal size in 7 days. The clinical features of 109 patients with recurrent unilateral parotid swelling 24.
An interesting case of kimuras disease was described in the 42yearold patient manifesting itself as a unilateral parotid swelling, albeit the disease usually affects both parotid glands. Swelling and tenderness will be evident in this area but may extend to the cheek and even below the mandible. Pdf parotid gland enlargement approaching find, read and cite all the research you need on. Pdf approach to parotid gland enlargement researchgate. Unilateral parotid swelling is more common than bilateral the causes of bilateral swelling. Recurrent parotitis is defined as recurrent parotid inflammation, generally associated with nonobstructive sialectasis of the parotid gland. Seventyfive percent of the cases were in male infants. Salivary gland infections are uncommon in neonates, but when they occur they most commonly involve the parotid gland. We present a 34yearold female with a sixweek history of hearing loss and a unilateral parotid swelling. A previously healthy 22yearold woman presented with acute, unilateral facial and neck swelling, associated with fever and malaise. A study by spiegal et al identified only 32 cases in the english literature over four decades, and found a 72% male prevalence. Mumps presenting with unilateral, synchronous parotid and.
Parotid swelling is usually unilateral, although bilateral involvement is seen in. Parotid gland swelling may be unilateral occurring on one side only or bilateral affecting both sides. Acute suppurative parotitis acute suppurative parotitis is an acute, painful, diffuse disease probably developing from an ascending ductal infection. Reilly 1970 found only 3 cases in 1,500 and crile and wilkins 1940 only i case in 1,500. An algorithm approach to diagnosing bilateral parotid enlargement.
Any profession or recreation that increases oral positive pressure can cause. Congenital agenesis of the parotid gland is rare, and its association with accessory parotid tissue is even rarer. We report an unusual case of unilateral agenesis of the left parotid gland associated with pleomorphic adenoma of the left accessory parotid gland. Tuberculosis is a rare cause of parotid enlargement. Pdf acute swelling of the parotid gland after general anesthesia commonly known as anesthesia mumps or acute postoperative sialadenitis is a rare. It usually affects children, but may persist into adulthood. Hiv disease presenting as a unilateral parotid gland. The imaging findings and fineneedle aspiration, to differentiate between a lymphoma and a benign pss lymphocytic inflammatory infiltration of the parotid. If you have the enlargement of nearby lymph nodes because of a tumor or infection it can also lead to parotid gland swelling. To best of our knowledge, this is only the second such published case in the. Furthermore, first pathohistological finding was not suggestive of the disease, revealing only fatty tissue, but on the repeated biopsy together with ct the correct diagnosis was established. It is usually unilateral, and its prevalence is reported as 3.
Recurrent parotitis archives of disease in childhood. The case points to the difficulties encountered when wegeners granuloma presents in an unusual and varied way. Parotitis is inflammation of the parotid salivary gland. This can be the narrowing of the ducts at some point and lead also to an obstruction of the saliva. Parotid gland swelling causes of parotid enlargement. A broad spectrum of pathological conditions can affect the parotid glands. The most common presentation of parotid gland disease was unilateral painless gland swelling, which was also different from previous studies that found bilateral involvement in more than 70% of their cohorts. Pneumoparotid refers to air in the parotid gland and can cause unilateralbilateral parotid swelling. A unique case is presented of rupture of the parotid gland after a minor external force in a 14 year old boy. Salivary gland disorders american family physician. Unilateral parotid gland enlargement in a patient with. Palpating parotid salivary gland during extraoral examination by starting in front of each ear, moving to the cheek area, then inferior to the angle of the mandible. Prematurity, low birth weight, dehydration, local trauma, immunosuppression. Case report unilateral parotid gland swelling as the sole presenting symptom of acute lymphoblastic leukaemia in children yatiee swany lahuria, irfan mohamada, mohd iszuari md ismailb, hasmah hashimc, hasleani ibrahimc adepartment of otorhinolaryngologyhead and neck surgery, school of medical sciences, universiti sains malaysia health campus, kubang kerian, kota bharu, kelantan.
The characteristic clinical picture was of a sick premature infant with unilateral parotid swelling and inflammation. Sialochemistry studies, scintigraphy, contrast sialography, salivary flow rate studies. Unilateral parotid gland swelling as the sole presenting. Clinical characteristics of parotid gland sarcoidosis. The radiological findings are presented, which pointed to diffuse rupture of the gland parenchyma with an intact duct system.
These can be separated by the standard surgical sieve approach into infective, inflammatory, immune, neoplastic, infiltrative, and congenital causes. Trauma involving the parotid gland is rare and is usually caused by penetrating injuries or fractures of the facial skeleton. Salivary gland swellings usually present on the side of the face, below and in front of the ear parotid gland, or in the upper part of the neck tail of the parotid gland and the submandibular gland. Pus expressed from the duct cultured s aureus in more than half of the cases. Previous work has suggested that mr is the best imaging technique for assessment of parotid hemangioendothelioma. Unilateral parotid agenesis associated with pleomorphic. A submucosal swelling in the oral cavity should raise suspicion of a. For example, drinking lots of water with lemon can help stimulate the saliva. We present a series of 7 patients with sialadenosis. It would appear that calculi are the cause of recurrent unilateral parotid swelling after exclusion of sjogrens disease in an overwhelming proportion of patients with this symptom. Acute bilateral or unilateral swelling associated with pain can be caused by obstruction of the salivary glands by mucous plugging, noninfectious inflammation or a nonhodgkins lymphoma. Hemangioendothelioma is the most common parotid gland tumor of childhood, and is diagnosed on clinical grounds, supported by imaging findings. Bilateral parotid swelling in a childa case report article pdf available in journal of indian society of pedodontics and preventive dentistry 221.
1297 1271 916 1039 1601 93 1081 10 1243 1080 636 677 40 1335 1336 611 953 770 1461 414 612 1573 794 1526 1066 400 565 938 1195 1249 1362 929 989 1082