Cases presenting as parotid abscesses in children

Paediatric salivary gland pathology

“…Of the 17 pleomorphic adenomas, the first 12 of which we have reported previously, 1 11 were associated with pleomorphic adenoma gene 1 (PLAG1) abnormalities, and six were associated with high motility group protein 2A (HMGA2) abnormalities ( Figure 1). The distribution of pleomorphic adenomas includes 10 parotid (seven PLAG1, three HMGA2), three submandibular (all PLAG1), and four minor salivary gland (one PLAG1, three HMGA2).…”

“…10 Suppurative inflammation may evolve into an abscess requiring surgical intervention. 11 Acute "anesthesia sialadenitis" may follow peritoneal and, more recently recognized, cranial surgery. 12 Acute parotitis may accompany inflammatory bowel disease.…”

An Unusual Presentation of Parotid Abscess: Otorrhea

“…The symptoms of a parotid abscess include spontaneous onset of warm, indurated, erythematous swelling of the angle of the jaw, pain for the stretching of the dense parotid capsule, erythema of the preauricular area associated with marked fever and leukocytosis. 5,11 Regional lymphadenitis may occur, as well as purulent secretion from Stensen's duct may be exuding spontaneously, or induced by gentle massage over the gland. However, absence of purulent secretion from Stensen's duct does not exclude the disease as in our patient, purulent discharge from Stenson's duct was not demonstrable.…”

Neck Masses in Children

“…2,11 This requires removing the complete cyst, associated tract, and middle portion of the hyoid bone. 14 To decrease the risks of open surgical neck dissection, endoscopic cauterization may also be an option. The thyroid uptake study is usually performed to determine the presence of any ectopic thyroid tissue.…”