Parotitis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.


Surgery is recommended for parotitis caused by salivary duct stones, abscess from bacterial infection, parotid gland neoplasia, and recurrent parotitis of unknown etiology of which non-surgical therapies fail to resolve the disease. Sialendoscopy is preferred to relieve salivary duct stone-based parotitis due to the minimally-invasive nature of the procedure. Abscess drainage is performed by superficial incision. Partial or total parotidectomy is performed to remove neoplasia and when recurrent parotitis does not respond to non-surgical therapy. It is not recommended unless necessary due to the likelihood of complications.



  • Sialendoscopy is used to relieve parotitis caused by salivary duct stone obstruction.
  • It is a minimally-invasive surgical procedure to remove salivary gland stones using graspers, miniforceps, Dormia baskets and balloons.[1]
    • Stones with diameter <3mm: stone is removed directly.[2]
    • Stones with diameter >3mm: stone is fragmented beforehand using concentrated lasers.

Abscess drainage

  • Parotitis caused by an abscess from bacterial infection can be relieved by incision and drainage.


  • Partial or total surgical removal of the parotid gland is used for parotitis caused by a maligant or benign neoplasm, as well as recurrent parotitis of unknown etiology.[3]


  1. Al-Abri R, Marchal F (2010). "New era of Endoscopic Approach for Sialolithiasis: Sialendoscopy". Sultan Qaboos Univ Med J. 10 (3): 382–7. PMC 3074741. PMID 21509260.
  2. Capaccio P, Torretta S, Ottavian F, Sambataro G, Pignataro L (2007). "Modern management of obstructive salivary diseases". Acta Otorhinolaryngol Ital. 27 (4): 161–72. PMC 2640028. PMID 17957846.
  3. Sadeghi N, Black MJ, Frenkiel S (1996). "Parotidectomy for the treatment of chronic recurrent parotitis". J Otolaryngol. 25 (5): 305–7. PMID 8902688.
  4. Marchese-Ragona R, De Filippis C, Marioni G, Staffieri A (2005). "Treatment of complications of parotid gland surgery". Acta Otorhinolaryngol Ital. 25 (3): 174–8. PMC 2639867. PMID 16450773.

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