Parotid Abscess in Elderly- Do We Incise or Aspirate?

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Premalatha Shetty, Sandeep K .M, Chitra Tiwari, Sameep Shetty, Joanna Baptist


Parotid gland infections are multifactorial and affected by age, oral hygiene, systemic diseases, the general condition of the patient and the pathogenicity of microorganisms. Bacterial and viral infections can result in parotitis, which may lead to parotid abscess. High bacterial loads in the oral cavity provide opportunity for infection of the glands. Abscess development is the generalized outcome in geriatric people with dehydration, poor oral hygiene, or recent surgery. This might lead to the retrograde spread of microorganisms into the parotid gland via Stenson’s duct. Risk factors for parotid abscess are diabetes mellitus, Sjogren's syndrome, drugs causing xerostomia, radiation, and immunocompromised status.

Case report: We present a case of a chronic parotid abscess in an elderly individual with multiple medical comorbidities who underwent conservative management.

Results: Although the conventional approach to drain parotid abscess is efficient, taking the medical comorbidities into account, modifications in the treatment plan such as aspiration of the pus was done in multiple planes and spaces under monitored anaesthesia and hence the infection was treated with  post-operative antibiotics.

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