[Clinical aspects of abscess development in parotitis].
OBJECTIVE
The purpose of this paper was to analyse parotideal abscesses on the basis of a larger number of patients.


METHODS
The data of 36 patients (mean age 44 years) with a parotideal abscess was analysed.


RESULTS
Ultrasound scan was always necessary to verify the diagnosis. The surgical drainage was done under myoelectric monitoring of the facial nerve. Only in 1 patient a temporary minor paralysis of the mandibular branch was noticed. The most common bacteria were Staph. aureus, Streptococcus, and Peptostreptococcus. In 2 cases a tuberculosis and in 2 children an atypical mycobacterial infection was discovered. In another patient a metastasis of a squamous cell carcinoma was found.


CONCLUSIONS
In every patient with an acute swelling of the parotid region without consideration of age, number of leucocytes or a typical fluctuation, an ultrasound scan should be used. The surgical drainage of the abscess should be done under myoelectric monitoring (Cave: muscle relaxant). In every case, a specimen for microbiological analysis (bacterial determination) and a biopsy (to exclude malignoma or atypical mycobacteria) are necessary. A peri- and post-operative therapy with a combination of aminopenicillin and clavulanic acid or with cephalosporine is recommended.
Thiede
O
O
Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde des Universitätsklinikums Münster. thiedeo@uni-muenster.de
Stoll
W
W
Schmäl
F
F
D000038:Abscess / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents; D019072:Antibiotic Prophylaxis; D001424:Bacterial Infections / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D010306:Parotid Gland / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D010309:Parotitis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery
D000900:Anti-Bacterial Agents
Klinische Aspekte der abszedierenden Parotitis.