Blunt trauma to the parotid gland

Trauma involving the parotid gland is rare and is usually caused by penetrating injuries or fractures of the facial skeleton. A unique case is presented of rupture of the parotid gland after a minor external force in a 14 year old boy. The radiological findings are presented, which pointed to diVuse rupture of the gland parenchyma with an intact duct system. A conservative management policy using antibiotics and anticholinergics was eVective, with complete resolution of symptoms. A literature review of more serious parotid injuries supported the conservative management policy. (Emerg Med J 2001;18:402‐403)