The syndrome of which the condition in the five cases reported in this paper are typical is characterized by preceding acute otitis media with suppuration. Concomitantly with the discharge from the ear, pain appears just anterior to the external auditory meatus. Early in the course there is pain on moving the jaw, and the temperature rises abruptly (to from 103 to 105 F.). The swelling in the affected area appears early, rapidly increases in size and is associated with edema and tenderness. The edema extends to the orbit, above the zygoma, and occasionally around the auricle to involve the mastoid region. The pain is acute. Fluctuation is elicited with difficulty, appearing late. In four cases the area was incised and drained, with prompt relief; in the fifth case the abscess ruptured into the external auditory canal and drained watery purulent material, with marked relief to the patient.
ADAMS JM. OTOGENIC SUPPURATIVE PAROTITIS IN CHILDREN: REPORT OF FIVE CASES. Am J Dis Child. 1936;52(3):608–615. doi:10.1001/archpedi.1936.04140030098008
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