Skip to main content
General Medicine

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, ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

START 10-DAY FREE TRIAL
Subscribe Now
GET CME/CE
Related Images
Left Arrow Button Right Arrow Button
FIG. 15.24. Parotitis. An 8-year-old girl with a 1-day history of right cheek swelling. The swollen area at the angle of the mandible was warm and tender.
FIG. 15.24. Parotitis. An 8-year-old girl with a 1-day history of right cheek swelling. The swollen area at the angle of the mandible was w...
Figure 141.1. Female patient with swelling of left parotid gland due to parotitis. Note the difference with the right parotid gland.
Figure 141.1. Female patient with swelling of left parotid gland due to parotitis. Note the difference with the right parotid gland.
    ×
     
    ©2020 Wolters Kluwer Health, Inc. and/or its affiliates. All rights reserved.

    Enter An Access Code

     
    We are unable to redeem your access code. Please try again another time.
    Enter the code from your copy of The 5-Minute Clinical Consult or another access code to create an account.
    ×
    ×
    This site uses cookies. By continuing to use our website, you are agreeing to our privacy policy. | Accept