Parotitis surgery: Difference between revisions
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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.