Parotitis natural history, complications and prognosis: Difference between revisions
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==Complications== | ==Complications== | ||
Imaging is usually reserved to assess for a complication such as abscess formation, invasion of the deep neck spaces, [[mediastinitis]], jugular vein thrombosis or [[osteomyelitis]] of the [[mandible]]. Local invasion of the [[temporomandibular joint]] (TMJ) and [[thrombophlebitis]] of the retromandibular and facial veins have also been noted. [[Facial nerve]] dysfunction is rare and usually transient if the infection is treated. More prolonged palsy suggests neoplasm. Because of the underlying debility, the most worrisome complications are systemic and [[sepsis]] can rapidly develop. Chronic recurrent parotitis can occur as a separate entity or secondary to ductal stenosis from initial infection. | Imaging is usually reserved to assess for a complication such as abscess formation, invasion of the deep neck spaces, [[mediastinitis]], jugular vein thrombosis or [[osteomyelitis]] of the [[mandible]]. Local invasion of the [[temporomandibular joint]] (TMJ) and [[thrombophlebitis]] of the retromandibular and facial veins have also been noted. [[Facial nerve]] dysfunction is rare and usually transient if the infection is treated. More prolonged palsy suggests neoplasm. Because of the underlying debility, the most worrisome complications are systemic and [[sepsis]] can rapidly develop. Chronic recurrent parotitis can occur as a separate entity or secondary to ductal stenosis from initial infection. | ||
==Prognosis== | |||
Most parotid gland infections go away on their own or are cured with treatment. Some infections will return. Complications are not common, but they may occur. | |||
== References == | == References == | ||
Revision as of 14:55, 19 December 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Complications
Imaging is usually reserved to assess for a complication such as abscess formation, invasion of the deep neck spaces, mediastinitis, jugular vein thrombosis or osteomyelitis of the mandible. Local invasion of the temporomandibular joint (TMJ) and thrombophlebitis of the retromandibular and facial veins have also been noted. Facial nerve dysfunction is rare and usually transient if the infection is treated. More prolonged palsy suggests neoplasm. Because of the underlying debility, the most worrisome complications are systemic and sepsis can rapidly develop. Chronic recurrent parotitis can occur as a separate entity or secondary to ductal stenosis from initial infection.
Prognosis
Most parotid gland infections go away on their own or are cured with treatment. Some infections will return. Complications are not common, but they may occur.