Postoperative
parotitis is a frequent and important complication of major surgery. The
majority of infections probably are ductogenous in origin, and the responsible
organism is the staphylococcus. Bad oral hygiene, dehydration Vitamin A deficiency (with attendant atrophy
of the epithelial cells of Stenson's duct causing the lowered resistance of the parotid gland)
are responsible for Parotitis.
Preoperative
care should include hydration and oral hygiene.
We
routinely start Chlorhexidine mouthwash for all patients before surgery.
Postoperative
prophylaxis should consist of continuance of oral hygiene, hydration and the
institution of active mastication as soon as possible. Treatment after
parotitis has developed should be antibiotics; preferably combination of antibiotics
against gram positive bacteria (like penicillin group) and anerobic bacteria (like
metronidazole).
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