There are multiple causes of acute parotid swelling, including viral and bacterial infections, duct obstruction, neoplasms and enlargement accompanying connective tissue disease. Another possible cause of parotid swelling is pneumoparotid. Patients with pneumoparotid typically present with painless swelling in the parotid region with crepitus on palpation. We present a rare case of pneumoparotid with initial presentation of viral parotitis in the epidemic area of mumps.
Bacterial Infections ; Connective Tissue Diseases ; Humans ; Mumps ; Palpation ; Parotid Region ; Parotitis

Recurrent parotitis, which is also known as juvenile recurrent parotitis, is characterized by a cyclic swelling of parotid glands associated with discomfort and/or pain in the absence of external inflammatory changes or progression to frank suppuration. It is usually accompanied by fever and malaise. Recurrent parotitis, following mumps, is the most common inflammatory salivary gland disease during childhood. Its etiology remains an enigma, but various etiologies have been suggested as causes, including infection, allergy, localized manifestations of systemic immunologic disorders, autoimmune diseases and hereditary or congenital abnormalities of salivary duct. Sialolithiasis may occur at any age. Its higher frequency is found between the 4th and 6th decade, but it is rare in the first decade. We currently experienced a 14-year-old boy with recurrent parotitis associated with sialolithiasis. One and a half year earlier this boy experienced right-sided parotid swelling, which subsided spontaneously over a few days. During the following year and a half period, he experienced three more short bouts of parotid swelling with mild pain, fever and malaise. The symptoms including swelling lasted from several days to 2 weeks and resolved spontaneously, independent of any treatment. Forty days ago diffuse swelling of his right parotid gland developed with pain and fever, which were more exacerbated during or after meals. Meanwhile, his left parotid gland also became swollen. Diagnosis for sialolithiasis was confirmed by sialographic findings showing the filling defect in the right parotid duct. We present a case of parotid parotitis with sialolithiasis in a child with a brief review of related literatures.
Adolescent* ; Autoimmune Diseases ; Child ; Congenital Abnormalities ; Diagnosis ; Fever ; Humans ; Hypersensitivity ; Male* ; Meals ; Mumps ; Parotid Gland ; Parotitis* ; Salivary Ducts ; Salivary Gland Calculi* ; Salivary Gland Diseases ; Suppuration

INTRODUCTION: The location of parotid gland tumors in the superficial or deep lobes can affect the time and difficulty of operations. Therefore, accurate preoperative evaluation of the tumor location is important for surgical outcomes. MATERIALS AND METHODS: A total of 16 patients with parotid gland tumors and who underwent a parotidectomy between April 2003 and March 2011 were retrospectively reviewed in terms of demographic background, tumor location, surgical treatment, and treatment outcomes. Tumor location was estimated by four landmarks on contrast enhanced computerized tomography scans, which were Conn's arc, the facial nerve (FN) line, the Utrecht line, and the retromandibular vein. Tumor location was confirmed by relative position depending on the facial nerve during surgery. It was assumed positive since the tumor lies in the superficial lobe of the parotid gland, the sensitivity, specificity, positive predictive value, negative predictive value, and efficiency of each landmark were evaluated. RESULTS: Our result revealed that the facial nerve line had a sensitivity of 83.3%, specificity of 100%, positive predictive value of 100%, negative predictive value of 71.4%, and efficiency of 87.5%. Some would be more efficient preoperative evaluation methods of the relationship of parotid gland tumors to the facial nerve than others. CONCLUSION: In our study, the FN line was found to be the most reliable analysis method.
Facial Nerve ; Humans ; Parotid Diseases ; Parotid Gland ; Parotid Neoplasms ; Retrospective Studies ; Sensitivity and Specificity ; Veins

Tuberculous parotitis is a rare disease even in the endemic areas. Clinically it is usually presented as a slowly growing local mass over the parotid area, mimicking a benign neoplasm of parotid gland. Also it rarely accompanies respiratory or systemic symptoms such as fever, night sweat, or weight loss, which make the preoperative diagnosis of tuberculous parotitis even more difficult. Preoperative diagnostic studies such as sialography, ultrasonography or CT scan also provides nonspecific findings that have little contribution to the diagnosis. Less than 100 cases of tuberculous parotitis has been reported in the worldwide literatures and moreover, cases that were diagnosed tuberculous parotitis before pathologic confirmation are hard to find. In our department, superficial parotidectomy was performed on a patient with a mass over her right parotid area, and the mass was pathologically diagnosed tuberculous parotitis.
Diagnosis ; Fever ; Humans ; Parotid Gland ; Parotitis* ; Rare Diseases ; Sialography ; Sweat ; Tomography, X-Ray Computed ; Tuberculosis ; Ultrasonography ; Weight Loss

Tuberculous parotitis is a rare disease even in the endemic areas. Clinically it is usually presented as a slowly growing local mass over the parotid area, mimicking a benign neoplasm of parotid gland. Also it rarely accompanies respiratory or systemic symptoms such as fever, night sweat, or weight loss, which make the preoperative diagnosis of tuberculous parotitis even more difficult. Preoperative diagnostic studies such as sialography, ultrasonography or CT scan also provides nonspecific findings that have little contribution to the diagnosis. Less than 100 cases of tuberculous parotitis has been reported in the worldwide literatures and moreover, cases that were diagnosed tuberculous parotitis before pathologic confirmation are hard to find. In our department, superficial parotidectomy was performed on a patient with a mass over her right parotid area, and the mass was pathologically diagnosed tuberculous parotitis.
Diagnosis ; Fever ; Humans ; Parotid Gland ; Parotitis* ; Rare Diseases ; Sialography ; Sweat ; Tomography, X-Ray Computed ; Tuberculosis ; Ultrasonography ; Weight Loss

No abstract available.
Meningitis* ; Mumps* ; Parotitis* ; Scrub Typhus

Kimura's disease is an uncommon, chronic inflammatory disease of unknown etiology. It is an important category of reactive lymphadenopathy in the oriental population. The most common sites are the subcutis of the head and neck, and parotid gland. It's clinical course is benign nature. The treatment modalities for this disease are steroid therapy, radiation therapy and surgical excision. We experienced a case of soft tissue mass in the left arm. It was slightly tender and relatively movable. We excised the mass, which was turned out to be Kimura's disease on microscopic examination.
Arm ; Head ; Lymphatic Diseases ; Neck ; Parotid Gland

OBJECTIVETo investigate the prognosis-related factors and treatment strategy of primary parotid squamous cell carcinoma.

METHODSForty-nine primary parotid squamous cell carcinoma treated from 1970 to 2005 were retrospectively analyzed. The follow up data were analyzed by SPSS 13.0 software.

RESULTSIntegrated follow up data were obtained from 44 patients with a median follow up time of 38 months (5 - 215 months). Recurrence or distant metastasis of the carcinoma occurred in 21 patients, including 13 local recurrence in parotid or neck and 8 distant metastasis. Local recurrence was the main reason of treatment failure. The 3-year and 5-year survival rate and disease-free survival rate was 52%, 27% and 34%, 16%. Kaplan-Meier and log-rank analysis indicated that age, tumor size, distant metastasis, postoperative radiotherapy, facial nerve dysfunction, neck dissection, skin invasion, and surgical margins were prognosis-related factors. Cox analysis showed that age, facial nerve dysfunction, distant metastasis and surgical margins were the important factors that influenced the prognosis.

CONCLUSIONSPrimary parotid gland squamous cell carcinoma is an uncommon tumor, surgery and postoperative radiotherapy are the optimal treatment, which can improve the prognosis of the patients and decrease recurrence of the tumor.

Aged ; Carcinoma, Squamous Cell ; pathology ; secondary ; therapy ; Follow-Up Studies ; Humans ; Lymphatic Metastasis ; Neck Dissection ; Neoplasm Recurrence, Local ; Parotid Gland ; Parotid Neoplasms ; pathology ; therapy ; Prognosis ; Rare Diseases ; pathology ; therapy ; Retrospective Studies ; Survival Rate ; Treatment Failure ; Tumor Burden

The salivary duct cyst is a rare disease and usually found in the parotid gland. A 55-years-old man presented swelling in the left buccal area and pathological diagnosis was a salivary duct cyst. Though its recurrence has been reported rare, the presented case showed recurrent swelling after enucleation. The recurrent lesion was successfully treated by incision and drain insertion.
Parotid Gland ; Rare Diseases ; Recurrence ; Salivary Ducts ; Salivary Gland Diseases

Adolescent ; Child ; Female ; Humans ; Parotid Diseases ; pathology ; Parotid Gland ; pathology ; Recurrence