Lakshmi Narayana M, Azeem Mohiyuddin S M, Mohammadi Kouser, Devnikar Anushka V, Prasad K N V
Department of Otorhinolaryngology & Head and Neck Surgery, Sri Devraj Urs Medical College, Tamaka, Kolar 563101, India.
Department of Otorhinolaryngology & Head and Neck Surgery, Sri Devraj Urs Medical College, Tamaka, Kolar 563101, India.
Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):1988-90. doi: 10.1016/j.ijporl.2015.10.021. Epub 2015 Oct 24.
Parotid abscess is a rare complication of acute parotitis in children. Acute parotitis occurs due to infection of intra-parotid or para-parotid lymph nodes or glandular parenchyma of the parotid gland which may progress to parotid abscess.
To document the causative organism, clinical behaviour and response to treatment in paediatric parotid abscess.
A retrospective study was done in our tertiary rural hospital from May 2007 to May 2015 to identify and analyse paediatric parotid abscess in 80 unilateral parotitis cases.
7 cases of parotid abscess were identified. 4 cases were diagnosed clinically and in 3 cases ultrasound was done showing heterogenous, hyperechoic, solid and cystic areas. In 2 patients, abscess was extending to the submandibular space. Incision and drainage was done in all patients. The most common bacteria was Methicillin Sensitive Staphylococcus aureus. Escherichia coli was reported in one patient, and was rare in parotid region. 2 patients had House Brackmann grade 2 marginal mandibular nerve palsy, and they recovered within 4½ months.
Parotid abscess is an uncommon but life-threatening condition in paediatric age group. Poor orodental hygiene was most important predisposing factor. Abscess can be diagnosed clinically and ultrasound scan is also an important diagnostic tool. It is commonly caused by Gram positive cocci and responds well to incision and drainage followed by appropriate antibiotics. No fistula may result if treated early.
腮腺脓肿是儿童急性腮腺炎罕见的并发症。急性腮腺炎是由于腮腺内或腮腺旁淋巴结或腮腺腺实质感染引起的，可能会发展为腮腺脓肿。
记录小儿腮腺脓肿的致病微生物、临床特征及治疗反应。
2007年5月至2015年5月在我院农村三级医院进行了一项回顾性研究，以识别和分析80例单侧腮腺炎病例中的小儿腮腺脓肿。
共确诊7例腮腺脓肿。4例通过临床诊断，3例进行了超声检查，显示为不均匀、高回声、实性和囊性区域。2例患者的脓肿延伸至下颌下间隙。所有患者均行切开引流术。最常见的细菌是甲氧西林敏感金黄色葡萄球菌。1例患者报告有大肠杆菌，在腮腺区域较为罕见。2例患者出现House Brackmann 2级下颌缘支神经麻痹，4个半月内恢复。
腮腺脓肿在儿童年龄组中虽不常见但危及生命。口腔卫生差是最重要的诱发因素。脓肿可通过临床诊断，超声扫描也是重要的诊断工具。它通常由革兰氏阳性球菌引起，切开引流并使用适当抗生素治疗效果良好。早期治疗不会导致瘘管形成。
