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Surgical Management of Acute Parotitis
S. L. PERZIK, M.D.;
BEVERLY HILLS
AMA Arch Surg. 1962;85(2):247-251.
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Introduction
The successful management of acute parotitis is dependent upon an accurate diagnosis, optimum surgical timing, and an anatomical understanding of the paraparotid fascial spaces.
The incidence of postoperative parotid gland infection is on the increase, probably associated with the appearance of drug-resistant bacteria.1-5 Certainly the predisposing factors of dehydration, faulty oral hygiene, and inadequate postoperative care are far better understood and more adequately taken care of now than during the preantibiotic days, when these were looked upon as the primary causative factors in the then high incidence of this disease. Whether this infection occurs by ascending Stensen's duct or by way of the blood stream in any specific instance is still impossible to determine. It is of interest to note that acute parotitis with abscess formation is seldom seen by surgeons who operate on this gland or for intraoral carcinoma. In my personal experience with over 400 surgical
. . . [Full Text PDF of this Article]
Author Affiliations
CALIF.
Department of Surgery, Cedars of Lebanon Hospital, Los Angeles.
Footnotes
Received for publication Sept. 27, 1961.
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