Blunt trauma to the parotid gland

Trauma involving the parotid gland is rare and is usually caused by penetra ting injuries or fractures of the facial skeleton. A unique case is present ed of rupture of the parotid gland after a minor external force in a 14 yea r old boy. The radiological findings are presented, which pointed to diffus e rupture of the gland parenchyma with an intact duct system. A conservativ e management policy using antibiotics and anticholinergics was effective, w ith complete resolution of symptoms. A literature review of more serious pa rotid injuries supported the conservative management policy.