%0 Journal Article
%T Parotid Abscess-Associated Facial Palsy in Hemodialysis Patients: Clinical and Surgical Considerations
%A Pavithran Ashokkumar
%A Govindarajan Valanthan Veda Giri
%A Kalpa Pandya
%J Asian Journal of Periodontics and Orthodontics
%D 2022
%V 2
%N 1
%P 47-50
%X A parotid abscess is an uncommon condition that is usually associated with an immunocompromised state. End-stage renal disease (ESRD) is recognized to enhance the risk of infections (DNI) by twofold. Parotid abscesses in ESRD patients may be violent, extending into surrounding regions, and causing facial paralysis. Due to alterations in their protein binding, volumes of distribution, kidney clearance, and non-renal clearance, infection management in patients with ESRD is challenging and often requires modifications to standard treatment approaches. There are very few cases of facial palsy associated with parotid abscesses in the literature. Although the precise cause and mechanism of this palsy remain unidentified, nerve compression is the most likely explanation. Corticosteroids and physiotherapy are suggested therapeutic modalities to improve neurological function more rapidly; however, there are no explicit guidelines for this. In this case report, we describe how a patient with end-stage renal illness was treated for a parotid abscess with facial palsy. We describe a patient who has been receiving dialysis for the past 15 years and has a parotid abscess, facial paralysis, underlying ESRD, and uncontrolled diabetes. Given the high-risk nature of the patient, the incision and drainage were performed under local anesthetic. After confirming the dosages' renal safety, appropriate antimicrobial treatment was given. The patient had partially recovered from the paralysis and was asymptomatic four weeks after presentation.
%U https://tsdp.net/article/parotid-abscess-associated-facial-palsy-in-hemodialysis-patients-clinical-and-surgical-consideratio-lgblhhexacz7rci