Читать книгу Salivary Gland Pathology - Группа авторов - Страница 142

1 Incision and drainage of parotitis is uncommonly required as patients typically resolve their parotitis with antibiotics while investigating for the possible presence of a sialolith.

2 Incision and drainage is warranted when physical examination demonstrates a significant magnitude of suppurative infection and when CT scans demonstrate the presence of an intraparotid abscess. Under these circumstances, culture‐directed antibiotic therapy is required.

3 A suppurative parotitis is typically of intrinsic origin, e.g. sialolithiasis or retrograde infections. This case demonstrates a possible extrinsic etiology of the suppurative parotitis due to his recent facial trauma, or possibly both intrinsic and extrinsic etiologies.