The successful management of acute parotitis is dependent upon an accurate diagnosis, optimum surgical timing, and an anatomical understanding of the paraparotid fascial spaces.The incidence of postoperative parotid gland infection is on the increase, probably associated with the appearance of drug-resistant bacteria.1-5 Certainly the predisposing factors of dehydration, faulty oral hygiene, and inadequate postoperative care are far better understood and more adequately taken care of now than during the preantibiotic days, when these were looked upon as the primary causative factors in the then high incidence of this disease. Whether this infection occurs by ascending Stensen's duct or by way of the blood stream in any specific instance is still impossible to determine. It is of interest to note that acute parotitis with abscess formation is seldom seen by surgeons who operate on this gland or for intraoral carcinoma. In my personal experience with over 400 surgical
PERZIK SL, HILLS B. Surgical Management of Acute Parotitis. Arch Surg. 1962;85(2):247–251. doi:10.1001/archsurg.1962.01310020077017
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