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Tuberculous parotitis: limiting the role of surgery

Published online by Cambridge University Press:  29 June 2007

Graeme M. Weiner*
Affiliation:
Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham, U.K.
A. L. Pahor
Affiliation:
Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham, U.K.
*
Address for correspondence: Mr G. M. Weiner, 2 Foxhill Barns, Foxhill Lane, Alvechurch, Worcs B48 7BY.

Abstract

The diagnosis of parotid gland involvement with tuberculosis has traditionally been made after superficial parotidectomy. We present four cases that suggest that fine needle aspiration cytology followed by antituberculous therapy can avoid the need for surgery in this uncommon condition.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1996

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References

Betts, R. F., Reese, R. E. (1986) Lower respiratory tract infections. In A practical approach to infectious diseases. 2nd Edition. (Reese, R. E., Douglas, R. G., eds.), Little, Brown and Co., Boston/Toronto, pp 239240.Google Scholar
Dandabat, M. C., Misha, B. M., Dash, S. B., Kar, P. K. (1990) Peripheral lymph node tuberculosis: a review of 80 cases. British Journal of Surgery 77: 911912.CrossRefGoogle Scholar
Kuruvilla, A., Saha, N. K., Barton, R. P. E., Zardawi, I. M. (1981) Tuberculosis of intra parotid lymph nodes. Journal of Laryngology and Otology 95: 11651167.CrossRefGoogle ScholarPubMed
Lau, S. K., Wei, W. I., Hsu, C., Engzell, U. C. G. (1990) Efficacy of fine needle aspiration cytology in the diagnosis of tuberculous lymphadenopathy. Journal of Laryngology and Otology 104: 2427.CrossRefGoogle Scholar
Maynard, J. (1967) Parotid enlargement. Hospital Medicine 1: 620624.Google Scholar
O'Connell, J. E., George, M. K.. Speculand, B., Pahor, A. L. (1993) Mycobacterial infection of the parotid, gland: an unusual cause of parotid swelling. Journal of Laryngology and Otology 107: 561564.CrossRefGoogle ScholarPubMed
O'Dwyer, P., Farrar, W. B., James, A. G. (1986) Needle aspiration biopsy of major salivary gland tumours. Cancer 57: 554557.3.0.CO;2-G>CrossRefGoogle Scholar
Pitts, D. B., Hilsinger, R. L., Karandy, E., Ross, J. C., Caro, J. E. (1992) Fine needle aspiration in the diagnosis of disorders of the salivary glands in the community hospital setting. Archives of Otolaryngology, Head and Neck Surgery 118: 479482.CrossRefGoogle Scholar
Shaha, A., Webber, C., Marti, J. (1986) Fine needle aspiration in the diagnosis of cervical lymphadenopathy. American Journal of Surgery 152: 420423.CrossRefGoogle ScholarPubMed
Singh, B., Maharaj, T. J. (1992) Tuberculosis of the parotid gland: clinically indistinguishable from a neoplasm. Journal of Laryngology and Otology 106: 929931.CrossRefGoogle ScholarPubMed
Smallman, L. A., Young, J. A., Oates, J., Proops, D. W., Johnson, A. P. (1988) Fine needle aspiration cytology in the management of ENT patients. Journal of Laryngology and Otology 102: 909913.CrossRefGoogle Scholar
Weiner, G. M., Pahor, A. L. (1994) Tuberculous nasopharyngeal cyst: diagnostic aspiration using the nasendoscope. Journal of Laryngology and Otology 108: 505506.CrossRefGoogle ScholarPubMed