Close
New

Medscape is available in 5 Language Editions – Choose your Edition here.

 

Parotitis Differential Diagnoses

  • Author: Jerry W Templer, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
 
Updated: May 05, 2016
 
 

Diagnostic Considerations

These include the following:

  • Metastases to lymph nodes within the parotid gland
  • Inflammation of lymph nodes within the parotid gland

Differential Diagnoses

 
 
Contributor Information and Disclosures
Author

Jerry W Templer, MD Professor, Department of Otolaryngology, University of Missouri-Columbia School of Medicine

Jerry W Templer, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, Missouri State Medical Association, Society of University Otolaryngologists-Head and Neck Surgeons

Disclosure: Nothing to disclose.

Coauthor(s)

Benjamin Daniel Liess, MD Assistant Professor, Department of Otolaryngology, University of Missouri-Columbia School of Medicine

Benjamin Daniel Liess, MD is a member of the following medical societies: American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, The Triological Society, American Medical Association, Missouri State Medical Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Ted L Tewfik, MD Professor of Otolaryngology-Head and Neck Surgery, Professor of Pediatric Surgery, McGill University Faculty of Medicine; Senior Staff, Montreal Children's Hospital, Montreal General Hospital, and Royal Victoria Hospital

Ted L Tewfik, MD is a member of the following medical societies: American Society of Pediatric Otolaryngology, Canadian Society of Otolaryngology-Head & Neck Surgery

Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA Professor of Otolaryngology, Dentistry, and Engineering, University of Colorado School of Medicine

Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Head and Neck Society

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Cerescan;RxRevu;SymbiaAllergySolutions<br/>Received income in an amount equal to or greater than $250 from: Symbia<br/>Received from Allergy Solutions, Inc for board membership; Received honoraria from RxRevu for chief medical editor; Received salary from Medvoy for founder and president; Received consulting fee from Corvectra for senior medical advisor; Received ownership interest from Cerescan for consulting; Received consulting fee from Essiahealth for advisor; Received consulting fee from Carespan for advisor; Received consulting fee from Covidien for consulting.

Additional Contributors

Ted L Tewfik, MD Professor of Otolaryngology-Head and Neck Surgery, Professor of Pediatric Surgery, McGill University Faculty of Medicine; Senior Staff, Montreal Children's Hospital, Montreal General Hospital, and Royal Victoria Hospital

Ted L Tewfik, MD is a member of the following medical societies: American Society of Pediatric Otolaryngology, Canadian Society of Otolaryngology-Head & Neck Surgery

Disclosure: Nothing to disclose.

References
  1. Lilienthal HA. A method of incising parotid abscess without injury to the facial nerve distribution. Am J Surg. 1917. 31(4):101-2.

  2. Hemenway WG, English GM. Surgical treatment of acute bacterial parotitis. Postgrad Med. 1971 Oct. 50(4):114-9. [Medline].

  3. Cope VZ. Acute necrotic parotitis. Br J Surg. 1919. 7:130-3.

  4. Blair VP, Padgett EC. Pyogenic infection of the parotid glands and ducts. Arch Surg. 1923. 7(1):1-36.

  5. Spiegel R, Miron D, Sakran W, Horovitz Y. Acute neonatal suppurative parotitis: case reports and review. Pediatr Infect Dis J. 2004 Jan. 23(1):76-8. [Medline].

  6. van Boven M, Ruijs WL, Wallinga J, O'Neill PD, Hahné S. Estimation of vaccine efficacy and critical vaccination coverage in partially observed outbreaks. PLoS Comput Biol. 2013 May. 9(5):e1003061. [Medline]. [Full Text].

  7. Waaijenborg S, Hahné SJ, Mollema L, Smits GP, Berbers GA, van der Klis FR, et al. Waning of Maternal Antibodies Against Measles, Mumps, Rubella, and Varicella in Communities With Contrasting Vaccination Coverage. J Infect Dis. 2013 May 8. [Medline].

  8. McLean HQ, Fiebelkorn AP, Temte JL, et al. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013 Jun 14. 62:1-34. [Medline].

  9. Baurmash HD. Chronic recurrent parotitis: a closer look at its origin, diagnosis, and management. J Oral Maxillofac Surg. 2004 Aug. 62(8):1010-8. [Medline].

  10. Beitler JJ, Vikram B, Silver CE, et al. Low-dose radiotherapy for multicystic benign lymphoepithelial lesions of the parotid gland in HIV-positive patients: long-term results. Head Neck. 1995 Jan-Feb. 17(1):31-5. [Medline].

  11. Henderson SO, Mallon WK. Tuberculosis as the cause of diffuse parotitis. Ann Emerg Med. 1995 Sep. 26(3):376-9. [Medline].

  12. Shaffer AJ, Jacobsen AW. Mikulicz's syndrome, a report of ten cases. Amer J Dis Child. 1927. 34:342-6.

  13. Sjogren H. Keratoconjunctivitis sicca. Acta Ophthalmologica. 1933. Supplement 2:1-145.

  14. Morgan WS, Castleman B. A clinicopathologic study of Mikulicz's disease. Am J Pathol. 1953 May-Jun. 29(3):471-503. [Medline].

  15. Godwin JT. Benign lymphoepithelial lesion of the parotid gland adenolymphoma, chronic inflammation, lymphoepithelioma, lymphocytic tumor, Mikulicz disease. Cancer. 1952 Nov. 5(6):1089-103. [Medline].

  16. Xie LS, Pu YP, Zheng LY, Yu CQ, Wang ZJ, Shi H. Function of the parotid gland in juvenile recurrent parotitis: a case series. Br J Oral Maxillofac Surg. 2016 Apr. 54 (3):270-4. [Medline].

  17. Hemenway WG. Chronic punctate parotitis. Laryngoscope. 1971 Apr. 81(4):485-509. [Medline].

  18. Wu CB, Xi H, Zhou Q, Zhang LM. The diagnostic value of technetium 99m pertechnetate salivary gland scintigraphy in patients with certain salivary gland diseases. J Oral Maxillofac Surg. 2015 Mar. 73 (3):443-50. [Medline].

  19. Papadaki ME, McCain JP, Kim K, Katz RL, Kaban LB, Troulis MJ. Interventional sialoendoscopy: early clinical results. J Oral Maxillofac Surg. 2008 May. 66(5):954-62. [Medline].

  20. Gillespie MB, Intaphan J, Nguyen SA. Endoscopic-assisted management of chronic sialadenitis. Head Neck. 2011 Sep. 33(9):1346-51. [Medline].

  21. Iro H, Zenk J, Escudier MP, et al. Outcome of minimally invasive management of salivary calculi in 4,691 patients. Laryngoscope. 2009 Feb. 119(2):263-8. [Medline].

  22. Marchal F, Dulguerov P. Sialolithiasis management: the state of the art. Arch Otolaryngol Head Neck Surg. 2003 Sep. 129(9):951-6. [Medline].

  23. Koch M, Iro H, Zenk J. Role of sialoscopy in the treatment of Stensen's duct strictures. Ann Otol Rhinol Laryngol. 2008 Apr. 117(4):271-8. [Medline].

  24. Mikolajczak S, Meyer MF, Beutner D, et al. Treatment of chronic recurrent juvenile parotitis using sialendoscopy. Acta Otolaryngol. 2014 May. 134(5):531-5. [Medline].

  25. Roby BB, Mattingly J, Jensen EL, Gao D, Chan KH. Treatment of juvenile recurrent parotitis of childhood: an analysis of effectiveness. JAMA Otolaryngol Head Neck Surg. 2015 Feb. 141 (2):126-9. [Medline].

  26. Ramakrishna J, Strychowsky J, Gupta M, Sommer DD. Sialendoscopy for the management of juvenile recurrent parotitis: A systematic review and meta-analysis. Laryngoscope. 2015 Jun. 125 (6):1472-9. [Medline].

Previous
Next
 
Elderly man with parotid abscess.
Six-year-old girl with recurrent parotitis of childhood.
Sialogram of patient with sialectasis. Notice the appearance of a tree with leaves.
Incision outlined for incision and drainage of parotid abscess.
Parotid gland anatomy.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2016 by WebMD LLC. This website also contains material copyrighted by 3rd parties.