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Chronic Recurrent Non-specific Parotitis: A Case Report and Review

BACKGROUND: Chronic recurrent non-specific parotitis is characterized by recurrent episodes of swelling and pain of unknown etiology in the parotid gland. Sialography is a hallmark in the diagnosis of salivary gland disorders; newer imaging modalities like CT-Sialography, sialoendoscopy and MRI can...

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Autores principales: Mahalakshmi, Saibaba, Kandula, Srinivas, Shilpa, Patil, Kokila, Ganganna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Research and Publications Office of Jimma University 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5390234/
https://www.ncbi.nlm.nih.gov/pubmed/28458496
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author Mahalakshmi, Saibaba
Kandula, Srinivas
Shilpa, Patil
Kokila, Ganganna
author_facet Mahalakshmi, Saibaba
Kandula, Srinivas
Shilpa, Patil
Kokila, Ganganna
author_sort Mahalakshmi, Saibaba
collection PubMed
description BACKGROUND: Chronic recurrent non-specific parotitis is characterized by recurrent episodes of swelling and pain of unknown etiology in the parotid gland. Sialography is a hallmark in the diagnosis of salivary gland disorders; newer imaging modalities like CT-Sialography, sialoendoscopy and MRI can be used. Various treatment modalities have been tried, from conservative approach to surgical excision depending on the recurrence rate and severity of the condition. Although symptomatic treatment with antibiotics and analgesic, injection of intraductal medicament, aggressive treatment like duct ligation or excision of gland are some of the treatment modalities, there is no established algorithm as to which treatment method should be opted in such clinical situation. CASE DETAIL: A 20 years old male patient reported with pain and salty taste in the mouth that had began before a week. Examination revealed an elevated right parotid papilla; ropy, cloudy appearing saliva was oozing out on milking the gland. Unstimulated and stimulated whole salivary flow rate was assessed using drooling method. Sialography was used as a diagnostic and a therapeutic aid. In our case, sialography as a treatment showed a good response with no recurrence after two years of follow-up. We highlighted the role of sialography as a therapeutic aid. CONCLUSION: Recurrent attacks significantly affect the quality of life and also lead to progressive gland destruction. Preventing or reducing the frequency of recurrence remains the goal of therapeutic procedure. Hence, conventional sialography is useful in the diagnosis and also effective as a therapeutic aid in recurrent parotitis.
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spelling pubmed-53902342017-04-28 Chronic Recurrent Non-specific Parotitis: A Case Report and Review Mahalakshmi, Saibaba Kandula, Srinivas Shilpa, Patil Kokila, Ganganna Ethiop J Health Sci Case Report BACKGROUND: Chronic recurrent non-specific parotitis is characterized by recurrent episodes of swelling and pain of unknown etiology in the parotid gland. Sialography is a hallmark in the diagnosis of salivary gland disorders; newer imaging modalities like CT-Sialography, sialoendoscopy and MRI can be used. Various treatment modalities have been tried, from conservative approach to surgical excision depending on the recurrence rate and severity of the condition. Although symptomatic treatment with antibiotics and analgesic, injection of intraductal medicament, aggressive treatment like duct ligation or excision of gland are some of the treatment modalities, there is no established algorithm as to which treatment method should be opted in such clinical situation. CASE DETAIL: A 20 years old male patient reported with pain and salty taste in the mouth that had began before a week. Examination revealed an elevated right parotid papilla; ropy, cloudy appearing saliva was oozing out on milking the gland. Unstimulated and stimulated whole salivary flow rate was assessed using drooling method. Sialography was used as a diagnostic and a therapeutic aid. In our case, sialography as a treatment showed a good response with no recurrence after two years of follow-up. We highlighted the role of sialography as a therapeutic aid. CONCLUSION: Recurrent attacks significantly affect the quality of life and also lead to progressive gland destruction. Preventing or reducing the frequency of recurrence remains the goal of therapeutic procedure. Hence, conventional sialography is useful in the diagnosis and also effective as a therapeutic aid in recurrent parotitis. Research and Publications Office of Jimma University 2017-01 /pmc/articles/PMC5390234/ /pubmed/28458496 Text en Copyright © Jimma University, Research & Publications Office 2017 This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Mahalakshmi, Saibaba
Kandula, Srinivas
Shilpa, Patil
Kokila, Ganganna
Chronic Recurrent Non-specific Parotitis: A Case Report and Review
title Chronic Recurrent Non-specific Parotitis: A Case Report and Review
title_full Chronic Recurrent Non-specific Parotitis: A Case Report and Review
title_fullStr Chronic Recurrent Non-specific Parotitis: A Case Report and Review
title_full_unstemmed Chronic Recurrent Non-specific Parotitis: A Case Report and Review
title_short Chronic Recurrent Non-specific Parotitis: A Case Report and Review
title_sort chronic recurrent non-specific parotitis: a case report and review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5390234/
https://www.ncbi.nlm.nih.gov/pubmed/28458496
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