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Paediatric Parotid Abscess: A Rare Presentation.

Sounak Patra¹, Sauradeep Das¹, Prachurya Tamuli¹

¹Department of ENT, NEIGRIHMS, Shillong, 793018 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|November 17, 2023

Summary

Acute parotitis in children can lead to parotid abscesses. This case highlights the importance of imaging, like ultrasound with color Doppler, for diagnosing and managing pediatric parotid abscesses, especially those stemming from dental infections.

Keywords:

Acute parotitis Parotid abscess Pediatric parotid abscess

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Area of Science:

Pediatric Infectious Diseases
Otolaryngology
Medical Imaging

Background:

Acute parotitis in children is common, with various predisposing factors.
Infections can lead to parotid abscesses requiring intervention.
Dental infections are an uncommon cause of pediatric parotid abscesses.

Purpose of the Study:

To present a case of pediatric parotid abscess secondary to dental infection.
To emphasize the role of imaging in diagnosis and management.
To highlight the rarity of dental origin for parotid abscesses in children.

Main Methods:

Case presentation of a 9-year-old female child with parotid abscess.
Clinical examination and ultrasonography with color Doppler for diagnosis.
Surgical drainage as the management for refractory abscess.

Main Results:

The parotid abscess required surgical drainage.
Ultrasonography with color Doppler proved effective for diagnosis and guiding intervention.
The abscess originated from a preceding dental infection, a rare occurrence in pediatric patients.

Conclusions:

Parotid abscesses in children, particularly those from dental origins, necessitate prompt diagnosis and management.
Ultrasonography with color Doppler is a crucial tool for evaluating parotid abscesses.
While surgical drainage is sometimes required, conservative measures and accurate imaging are key.