Overview
What is the historical importance of acute bacterial parotitis?
What is the role of sarcoidosis in parotitis and how is it diagnosed?
What is the function of the parotid glands?
What is the physiology of the salivary glands?
Why is parotitis difficult to diagnose?
What was the original surgical treatment for parotitis?
How were patients with parotitis treated in the early 20th century?
How did treatment of parotitis evolve in the middle of the 20th century?
Why is parotitis more common in elderly persons?
What is the incidence of acute parotitis in neonates and how is it treated?
What is etiology of chronic bacterial parotitis?
How does acute viral parotitis (mumps) spread?
How is HIV parotitis characterized?
How does the presentation of HIV parotitis differ between children and adults?
What microscopic findings indicate HIV parotitis in adults?
What is the prevalence of parotitis in pulmonary TB and how is it characterized?
How is the diagnosis of parotitis in TB made?
How is chronic punctate parotitis (chronic autoimmune parotitis) characterized and diagnosed?
What is the relationship between parotitis and Mikulicz disease?
What is the relationship between parotitis and Sjögren syndrome?
How is Sjögren syndrome characterized?
Which patient groups are at highest risk for developing Sjögren syndrome?
What is the pathology of parotitis in Sjögren syndrome?
What is the historical importance of lymphoepithelial lesion of Godwin as an etiology of parotitis?
What is the pathogenesis of autoimmune parotitis?
What role of salivary stones (sialolithiasis) in the pathogenesis of parotitis?
How is the diagnosis of salivary stones (sialolithiasis) in parotitis confirmed?
How is are salivary stones (sialolithiasis) in parotitis treated?
What is chronic recurrent parotitis (chronic nonspecific parotitis)?
What is recurrent parotitis of childhood?
What is the histopathology and etiology of recurrent parotitis of childhood?
What is the role of amylase activity in recurrent parotitis of childhood?
How is recurrent parotitis of childhood treated?
What is sialadenosis (sialosis) relative to parotitis?
What is pneumoparotitis and how is it characterized?
What are the causes of inflammation and enlargement of the parotid gland?
What is the pathophysiology of parotitis?
What is mortality and morbidity of parotitis?
Does the incidence of parotitis vary by race?
How does the incidence of parotitis vary between males and females?
How does the incidence of parotitis vary among age groups?
Presentation
What are the symptoms of infectious parotitis?
What are the symptoms of chronic punctate parotitis (chronic autoimmune parotitis)?
What are the symptoms of parotitis associated with diseases of uncertain etiology?
Which physical findings suggest parotitis?
What are the causes of parotitis?
DDX
What conditions should be considered in the differential diagnoses of parotitis?
What are the differential diagnoses for Parotitis?
Workup
What is the role of lab studies in the workup of parotitis?
What is the role of imaging studies in the workup of parotitis?
What is the role of sialography in the workup of parotitis?
What is the role of scintigraphy in the workup of parotitis?
What is the role of ultrasonography in the workup of parotitis?
What is the role of interventional sialendoscopy in the treatment of parotitis?
What is the role of salivary endoscopy in the treatment of parotitis?
What is the role of incisional biopsy in the workup of parotitis?
Which histologic findings suggest parotitis?
Treatment
What are the treatment options for parotitis?
What infectious agents cause acute bacterial parotitis and how is it treated?
What is the basis for treatment of chronic parotitis?
What is the role of parotidectomy in the treatment of parotitis?
What is the role of tympanic neurectomy in the treatment of parotitis?
What is the role of ligation of the parotid duct in the treatment of parotitis?
What is the role of methyl violet in the treatment of parotitis?
How effective is sialendoscopy in the treatment of recurrent juvenile parotitis?
When is dental consultation indicated in parotitis?
What is the role of diet in the treatment of parotitis?
Medications
Which drugs are used in the treatment of parotitis?
Follow-up
When is inpatient care indicated in the treatment of parotitis?
Which medications are contraindicated in patients with parotitis?
What are the possible complications of parotitis?
What is the prognosis of parotitis?
What education should patients with parotitis receive?
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Elderly man with parotid abscess.
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Six-year-old girl with recurrent parotitis of childhood.
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Sialogram of patient with sialectasis. Notice the appearance of a tree with leaves.
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Incision outlined for incision and drainage of parotid abscess.
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Parotid gland anatomy.