Marcela Colmenares Sofia Mestizo Paula Bolaños Glándula Parótida Que es la Parótida? Esta situada en la fosa retromandibular. La mayoría de las lesiones salivales glandulares afectan a la parótida (más del . cambios intraglandulares y la posibilidad de complicaciones (absceso) en la. Absceso de parótida y meningitis linfocitaria como presentación de enfermedad por ara˜nazo de gato. Cat scratch disease (CSD) usually presents with a.
|Published (Last):||26 January 2010|
|PDF File Size:||17.96 Mb|
|ePub File Size:||12.89 Mb|
|Price:||Free* [*Free Regsitration Required]|
Head and neck imaging The skin flap was lifted superficial to the parotid fascia. The major salivary glands comprise the coupled parotid, submandibular and sublingual glands.
The patient subsequently received follow-up examinations for six months as an outpatient at the otolaryngology department. In summary, a deep lobe parotid abscess with facial avsceso palsy needs medical treatment and surgical intervention. Facial nerve palsy caused by parotid gland abscess. J CranioMaxilloFac Surg ; SRJ is a prestige metric based on the idea that not all citations are the same.
Cat-scratch disease presenting as parotid gland abscess and aseptic meningitis
Among these salivary glands, the parotid gland is most abaceso involved in acute suppurative sialadenitis. Acute suppurative sialadenitis, facial nerve palsy, parotid abscess. Tumours of the head and neck in the elderly: Pain, swelling and induration of the preauricular region are the most generally presenting symptoms.
Odontoestomatol Pract Clinic ; 1: However, facial nerve palsy, secondary to parotid abscess, is rare. The skin flap is then elevated to expose the entire parotid gland before the incision and drainage is performed.
Staphylococcus aureus is the most familiar organism present in acute suppurative parotitis, but other possible organisms are streptococci, gram negative bacilli and anaerobes 4. A parotid abscess is an acute suppurative parotitis with abscess formation. In addition, ultrasound can be used to detect a parotid lesion and is particularly sensitive to the presence of a parotid calculus 8.
Article in pdf format Article in xml format Article references How to cite this article Automatic translation Send this article by e-mail. It has as its aim to respond to the challenges currently posed by everything associated with infectious diseases, from a clinical, microbiological and public health perspective.
Painful swelling of the preauricular region and cheek is the most familiar symptom of acute suppurative parotitis.
The skin incision was executed with the abscedo through the subcutaneous tissue and platysma muscle. Bangladesh J Otorhinolaryngol ; Acute suppurative sialadenitis mostly occurs in the parotid gland, while parotid abscesses principally arise in the superficial lobe. The mechanisms of acute suppurative parotitis comprise obstruction of Stensen’s duct or diminished production of saliva, poor oral hygiene and then the retrogression of oral microbes 1.
The paritida function of the mucous viscous secretion is better than that of the serous watery secretion 3. In the event of a well-formed parotid abscess, surgical drainage is necessary. Predisposing factors for the ductally ascending infection are dehydration, xerogenic padotida and salivary gland diseases associated with ductal obstruction or reduced saliva secretion.
Med J Malays ; Malays J Med Sci ; Initial physical examination indicated one palpable 4 x 3 centimeter mass with focal tenderness over the left preauricular region Fig. A proposal for new diagnostic criteria.
Compared with the orthodox modified Blair incision, this technique has ce advantages of resulting in a smaller wound, lower possibility of iatrogenic facial nerve injury and shortened operation time. In order to perform the incision and drainage of a deep lobe parotid abscess, the superficial lobe of the parotid gland must be dissected away from the deep lobe and the facial nerve trunk distinguished cautiously. The most common pathogens associated with acute bacterial infection are Staphylococcus aureus and anaerobes.
After physical, laboratory and radiological examinations and consideration of the patient’s history, a deep lobe parotid abscess with facial nerve palsy was the tentative diagnosis. Epithelialmyoepithelial carcinoma of the abscesi gland.
At this point, we also suggested that the patient undergo an incision and drainage operation, but he refused. Sufficient fluid hydration, promotion and maintenance of good oral hygiene and prescription of empiric parenteral antibiotics are principal strategies of medical treatment, while incision and drainage is typically essential.
Further computed tomography or magnetic resonance imaging examination are important assessment instruments to distinguish between acute suppurative parotitis and a parotid abscess, while also assisting to exclude an underlying malignancy from the diagnosis 7. MRI confirmed the presence of the glands salivary diseases, and permits the evaluation of the relationship of lesions to the facial nerve and vascular complex; and extension on head and neck. The incision was made only from the mastoid process extending to the upper neck crease.
The laboratory findings exhibited white blood cell count of However, when the swelling, the pain in the left preauricular region and numbness of the left cheek persisted without any improvement for three days after admission, we explained the surgical indication to him once again and he agreed to the operation.
Saliva has antibacterial properties, due to the parotoda of glycoproteins, immune globulin IgA, lysozyme and so on. Are you a health professional able to prescribe or dispense drugs? Surgical incision and drainage may become necessary if abscess formation or facial nerve palsy is present 9. Obstruction of Stensen’s duct and diminished production of saliva are regarded as the promoting factors.
The signs include focal tenderness over the pre-auricular region, sometimes with a purulent discharge from the orifice of Stensen’s duct, near the upper second molar tooth.