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Parotitis, Acute and Chronic

Kathleen Ferrer, MD and Folami Duncan, MD Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Parotitis is inflammation of the parotid gland caused by infection, noninfectious systemic illnesses, mechanical obstruction, or medications.

  • Can be unilateral or bilateral, acute or ...

DIAGNOSIS

HISTORY

  • Acute parotitis presents with sudden-onset pain and swelling of the cheek typically extending to and obscuring the angle of the mandible.

    • Viral parotitis is usually bilateral and accom...

TREATMENT

GENERAL MEASURES

  • Usually a self-limiting course that requires supportive treatment with rest, adequate hydration, analgesia, and antipyretics

    • Can stimulate glands to produce saliva by sucking ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Antibiotic therapy for bacterial parotitis combined with adequate hydration should result in improvement within 48 hours; if not, patient should be re-evaluated. 

DIET

REFERENCES

1
Nation J, Panuganti B, Manteghi A, et al. Pediatric sialendoscopy for recurrent salivary gland swelling: workup, findings, and outcomes. Ann Otol Rhinol Laryngol.  2019;128(4):338–344...

ADDITIONAL READING

Hernandez S, Busso C, Walvekar RR. Parotitis and sialendoscopy of the parotid gland. Otolaryngol Clin North Am.  2016;49(2):381–393. 

CODES

ICD10

  • K11.20 Sialoadenitis, unspecified

  • K11.21 Acute sialoadenitis

  • K11.23 Chronic sialoadenitis

  • K11.22 Acute recurrent sialoadenitis

ICD9

  • 527.2 Sialoadenitis

  • 072.9 Mumps without mention of complication

SNOMED

CLINICAL PEARLS

  • History and physical exam are usually sufficient for diagnosis (parotid swelling and tenderness with or without purulent drainage from the Stensen duct).

  • In recurrent or chronic cases, ...

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