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Chronic non-specific parotid sialadenitis

M A Bhatty1, T A Piggot, J V Soames

  • 1Department of Plastic and Reconstructive Surgery, Newcastle General Hospital, Newcastle upon Tyne, UK.

British Journal of Plastic Surgery
|January 30, 1999
PubMed
Summary
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Chronic non-specific parotid sialadenitis causes painful gland swelling and can lead to fibrosis. Early superficial parotidectomy offers a high success rate with minimal complications for managing this condition.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Pathology

Background:

  • Chronic non-specific sialadenitis is an inflammatory parotid gland disorder.
  • It presents as intermittent, painful swelling and can progress to fibrosis.

Purpose of the Study:

  • To review surgical management outcomes for chronic non-specific parotid sialadenitis.
  • Evaluate the efficacy and complications of superficial parotidectomy.

Main Methods:

  • Retrospective review of 100 patients with benign parotid disease.
  • 19 patients diagnosed with chronic non-specific sialadenitis.
  • 17 patients underwent superficial parotidectomy; sialography used in two-thirds.

Main Results:

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  • Mean patient age 46, mean symptom duration 4.6 years.
  • Temporary facial nerve weakness (13), Frey's syndrome (3), temporary cheek paresthesia (3), painful neuroma (2).
  • No recurrence of sialadenitis or fistula; 2 infections of parotid duct remnant.

    • Conclusions:

    • Superficial parotidectomy is highly successful with minimal long-term complications.
    • Early surgical intervention is recommended to reduce morbidity.
    • Prolonged symptoms correlate with more severe gland involvement.