A bimanual examination did not eliminate the possibility. The deep lobe of the parotid gland was normal. PRIMARY ACTINOMYCOSIS OF THE PAROTID GLAND 133 The. Inflammatory condition of the parotid gland characterized by recurrent episodes of swell - ing and pain. On examination, bimanual palpation.

Examination of parotid gland is divided into inspection & palpation. Inspection: we will look for its size, colour, any scar marks, position, position of ear lobe, whether it is obliterating the normal hollow which lies below the lobule of ear. Palpation: We will check the mobility of swelling by asking the patient to clinch his teeth so that massetter muscle contracts and we check for mobililty of parotid swelling. Superficial lobe can be easily palpated, but deep lobe palpation requires bimanual approach.

One finger lies infront of tonsil, behind the 3rd molar teeth and other hand lies at back of ramus of mandible and we palpate deep lobe. Spyro 2 For Pc there. To see Stensen's duct, we need to retract the cheek with the help of tongue depressor or spatula, you can palpate the end part of stensen's duct which the help of your finger and thumb as shown in the video. While inspecting the opening of parotid duct, press the parotid swelling, if blood comes out through Stensen's duct it suggest parotid cancer. If you see pus that means suppurative parotitis is there. Parotid Swelling Quickly Healed With Lymphatic Massage.

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