Salivary Gland Abscess: Five-year Retrospective Review of UKM Medical Centre

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Salivary Gland Abscess: Five-year Retrospective Review of UKM Medical Centre

Z Mahfudz, SHA Primuharsa Putra, MB Marina, R Ramli: Salivary Gland Abscess: Five-year Retrospective Review of UKM Medical Centre. Mal. J. Oral Maxillofac. Surg. 2008; 6: 25–29.

Abstract: OBJECTIVES: To determine demographic data, symptoms, radiology, microbiology and complications of salivary gland abscess and to compare between parotid and submandibular glands abscess. STUDY DESIGN: Retrospective study in a tertiary referral teaching hospital. METHODS: We reviewed case records of 17 patients with salivary gland abscess who underwent drainage under general anaesthesia in Universiti Kebangsaan Malaysia Medical Centre from January 1998 to June 2003. RESULT: There were 9 males and 8 females. The mean age was 33.71 years with a range of 3 years to 73 years old. The most common age group was from 20 to 29 years old. Half of the patients developed symptoms within 10 days before seeking for treatment. The mean volume of pus evacuated for submandibular abscess was 10.1 millilitres (mls) whereas for parotid abscess was 17.17 mls. Staphylococcus aureus (S. aureus) was the most common organism isolated. Majority of patients underwent simple incision and drainage while two other patients underwent exploration and drainage. Four patients developed complications which include recurrent facial nerve palsy and sepsis. CONCLUSION: Acute suppurative sialadenitis is in reducing trend in this era of antibiotics. Findings in our series were consistent with other series in the world literature.