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RECURRENT PAROTITIS AND ASSOCIATED CALCULUS, CYST OR TUMOUR
Author(s) -
Eddey Howard H.
Publication year - 1969
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1969.tb107286.x
Subject(s) - medicine , cyst , duct (anatomy) , surgery , parotitis , radiation therapy , lobe , sialography , temporal lobe , parotid gland , radiology , general surgery , anatomy , pathology , epilepsy , psychiatry
Thirty‐nine patients having 41 operations for recurrent parotitis, in some cases associated with calculi, cyst or tumour, have been reviewed. Parotidectomy has been carried out in all but two cases and has resulted in relief of symptoms. Difficulties in diagnosis, particularly in those cases in which a cyst arises from the deep lobe and expands into the masseter muscle, have been discussed and the possibility of a tumour in the superficial lobe causing gland enlargement from a blocked duct and subsequent infection has been described. The various methods of conservative treatment have been mentioned and the use of radiotherapy in treating this disease in adolescent patients is condemned. The principles of the operation have been described with particular emphasis on the necessity of removing the accessory lobe and the main duct to prevent recurrence of symptoms in these portions of the gland.