title: [Clinical aspects of abscess development in parotitis].
abstract: 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.
authors.affiliation: Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde des Universitätsklinikums Münster. thiedeo@uni-muenster.de
authors.forename: O
authors.initials: O
authors.lastname: Thiede
authors.forename: W
authors.initials: W
authors.lastname: Stoll
authors.forename: F
authors.initials: F
authors.lastname: Schmäl
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Klinische Aspekte der abszedierenden Parotitis.