Male/age21 years. non -addicted non- dm-2 non- htn. swelling near L - parotid area near mandible drain scar is present since one year. Perviously abscess was formed and it was drain OE today Hard endurated fixed tender growing nature swelling pl discussion on this case for dx & tt.

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RT PAROTID REGION SWELLING, ,CN BE COLD ABSCESS I.E CERVICAL LYMPHADENITIS, ,DO FBP, ,FPBS, ,ESR, ,MT, ,FNAC OF PAROTID SWELLING, ,BIOPSY OF SWELLING WITH HPE, ,CXR, ,R/O!1ST KOCH'S LYMPHADENITIS, ,IF YES, ,THEN AKT FR 9 MONTHS, ,ONCOSURGEON'S OPINION

it is parotid abscess only needs I & D under aseptic precautions antibiotics like amoxi clav 625 bd aceclo para serrations bd multivitamins rule out DM, immune status

looks like a parotid abscess. it would require drainage

previous drainage was done. recurrent rule out pleomorohic adenoma. .biopsy required to r / o malignancy. ..

looks like parotid abscess inadequately drained or pleomorphic adenoma fnac simple aspiration will r/o many things

D.D 1 . parotid abscess. 2 . Pleomorphic adenoma with abscess formation

It can be parotid abscess But we need FNAC to confirm and rule out other diagnosis

Reccurent Hard endurated fixed Indicates tumour benign or malignant Hence first FNAC or biopsy to exclude tumour xray to exclude stone in duct blocking completely causing tense swelling and recurring Try accordingly

Antibioma, advised excision.

Warthin tumor(adinolymphorma) Rx parotidi tomy done

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