Parotitis risk factors

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Parotitis is a disease that occurs in debilitated patients. Dehydration and decreased salivary flow are the main risk factors for ascending infection through Stenson’s duct to the gland. Postoperative patients who are dehydrated and NPO with little salivary stimulation are at particular risk with an incidence estimated at 1 in 1000. Debilitating medical conditions such as Diabetes mellitus, renal failure, HIV, and Sjögrens’s syndrome are also risk factors. Patients with Anorexia, Bulimia, CF, or those with salivary ductal dilation are also at risk. Ductal dilation is found in those with high intraoral pressure such as trumpet players and glass blowers and medications with anticholinergic properties or diuretic effects.