Parotitis

Mumps is an inflammation of the parotid salivary glands. This disease is divided into two main groups: mumps neèpidemičeskaâ and mumps epidemic (see). There are also acute and chronic inflammation of the parotid gland.
Acute neèpidemičeskaâ mumps occurs more often in adults after infectious diseases (typhoid, dysentery and other), heavy operations, and also due to local causes the formation of salivary stones (see Sialolithiasis), the introduction of a foreign body in the duct cancer, inflammatory processes in the surrounding tissues, traumatic injuries, cancer, stomatitis , etc. In the discharge of duct usually find aureus.
The disease usually begins with the appearance of pain in the area of one of the glands and tight painful swelling; appears dry mouth, limited mobility of the lower jaw (see Trism), increased body temperature to 38-39 degrees. Of the flow with pressure is allocated a small amount of thick muddy saliva, and on the 3-4th day of may receive pus. The skin in the area of cancer, as a rule, is not changed.
Complications may arise - abscess, followed by necrosis of the majority of cancer and (possibly) facial neuritis, spreading of inflammatory process in the neighbouring area. It must be borne in mind that when the abscess formation and purulent melting cancer fluctuation (zublena) is determined not always because iron is covered with dense fascia.
To differentiate mumps should lymphadenitis salivary glands and the phlegmon of the parotid region, where ductless gland is allocated normal transparent saliva.
Under favorable course of the disease and proper treatment of the phenomenon of mumps subside within 10 to 14 days. In cases of scurvy, abstsedirovaniya with necrosis of the disease is delayed, in some cases remain salivary fistula. Possible outcome in chronic relapsing forms.
Treatment of mumps. In the initial stages of mumps recommend not bothering diet, if you have a large swelling appoint 0.1% solution of atropine on 6-8 drops 3-4 times a day (for 1-2 days) to reduce salivation, dry heat on the area of cancer, intramuscular injections of antibiotics, antibiotics in the duct. On the 3-4th day of illness is prescribed a diet, reinforcing salivation, and 1 % solution of hydrochloric acid pilocarpine 4-6 drops 3 times a day.
When the abscess formation, except for a specified treatment, resort to surgery.
Chronic forms mumps - see Cialdini.
Cm. also the Salivary glands.

Radiotherapy mumps. Radiation therapy is effective in acute postoperative parotitis that occur in immunocompromised patients after heavy operations, bleeding and injured. More rapid effect is achieved by the irradiation in the early development of inflammation, in the first days and even hours of the disease in order emergency patient. In the treatment of acute mumps various combinations of radiation method with surgery, antibiotic therapy and the use of radioactive iodine.
Methods of radiation - parotid salivary gland irradiated field size 4x6 or 6X6 cm in the conditions of moderate or deep x-ray therapy. Single dose of 50 rubles Irradiation produced once in 3-4 days. The total dose is usually from 3 to 4 sessions of radiation, as by that time comes complete resorption of inflammatory infiltrate.
Some authors recommend to irradiate the parotid gland in the conditions of surface radiotherapy dose of 30-40 R. Exposure finished in 3-4 session because by this time inflammatory symptoms disappear. If during radiotherapy develop signs of sepsis, it has to stop. Observed sometimes amplification of the inflammatory response after the first sessions of irradiation is not a contraindication to continue treatment with this method. Should be reduced dose can be lengthened intervals, but continue irradiation. As a rule, radiation therapy is a relatively quickly leads to decrease the swelling and inflammation, pain, the normalization of temperature.