title: Orthodontic parotitis: a rare complication from an orthodontic appliance.
abstract: A case is presented of a 14-year-old female undergoing orthodontic fixed appliance treatment who presented with right facial swelling in the parotid region. An initial diagnosis of acute infective parotitis was made by her primary care clinician. However, after clinical examination and ultrasonographic imaging, a diagnosis of salivary stasis secondary to inflammatory occlusion of Stensen's ductal orifice was made. The ductal orifice had been traumatized by the adjacent orthodontic appliance. This has not been described before in the literature. The differential diagnosis of parotid enlargement in children is discussed.
authors.affiliation: Guys and St Thomas's Hospitals NHS Trust, London, UK.
authors.forename: Eileen
authors.initials: E
authors.lastname: McCarthy
authors.forename: Alistair R M
authors.initials: AR
authors.lastname: Cobb
mesh_terms: D000293:Adolescent; D001424:Bacterial Infections / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009061:Mouth Mucosa / Q000293:injuries; D016910:Orthodontic Brackets / Q000009:adverse effects*; D010309:Parotitis / Q000209:etiology* / Q000382:microbiology; D018987:Salivary Ducts / Q000293:injuries*