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PYOGENIC INFECTION OF THE PAROTID GLANDS AND DUCTS
VILRAY PAPIN BLAIR, M.D.;
EARL CALVIN PADGETT, M.D.
Arch Surg. 1923;7(1):1-36.
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The sum of our experience in dealing with pyogenic parotitis has lead to three practical conclusions:
1. Acute suppurative parotitis is, in the great majority of cases, an ascending infection from the duct related to decreased salivary flow, fever and depressed general condition.
2. Early adequate liberation and drainage of the parotid gland is a safe and useful procedure in all cases of severe septic parotitis not plainly terminal, and in some cases it may be life saving.
3. Meatotomy of the duct is useful in certain cases of parotitis associated with obstruction not due to stones.
Both clinical observation and a review of this series of cases suggest certain tentative deductions as to etiology, clinical course and treatment. The series is of itself too small to form a basis for broad deductions that would controvert generally accepted ideas. These observations are presented as a further contribution to the subject.
. . . [Full Text PDF of this Article]
Author Affiliations
ST. LOUIS
From the Department of Surgery of Washington University Medical School.
Footnotes
Of the fifty-six cases here presented, thirty-one were those of private patients referred to or seen in consultation by Dr. Blair in various hospitals. The other cases are from the various ward services of the Barnes Hospital and the St. Louis Children's Hospital. Only the cases at the Barnes and the St. Louis Children's Hospital, during the past four years, were seen by Dr. Padgett. Case 42 (submaxillary duct obstruction) brings the number of cases to fifty-seven. Two cases of subtemporal abscess are also recorded, but not listed as parotid cases. The presentation of the literature endeavors to give credit for certain original conception of the disease and also of its treatment.
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