Akut parotit hastalarında parotis muayenesi ve masajın serum amilaz düzeylerine etkisi

Abstract

Objective: Acute infection of the parotid gland is common in the clinical practice of ear-nose-throat medicine. The present study aims to demonstrate the effect of parotid gland massage on serum amylase levels.
Methods: The study included 30 patients with acute parotitis presenting to our clinic and 14 healthy volunteers. The correlation between the serum samples collected before and after parotid gland massage was compared.
Results: A significant difference was observed in the amylase levels before and after massage in the acute parotitis group. Amylase levels did not differ significantly between measurements before and after massage in healthy subjects.
Conclusion: Patients should be evaluated with consideration to the effect of parotid gland massage performed to determine suppuration of parotid gland on amylase levels.

Keywords

• Amylase,parotid gland,acute parotitis,parotid massage,Amilaz,parotid bezi,akut parotit,parotis masajı

References

1. 1. Srivastava R, Fraser C, Gentleman D, Jamieson LA, Murphy MJ. Hyperamylasemia: not the usual aspects. BMJ 2005;331:890–1.
2. 2. Pieper-Bigelow C, Strocchi A, Levitt MD. Where does serum amylase come from and where does it go? Gastroenterol Clin North Am 1990;19:793–810.
3. 3. Otsuki M. Usefulness of amylase isoenzyme determination for the diagnosis of pancreatic diseases. [Article in Japanese] Nihon Rinsho 1995;53:1184–91.
4. 4. Warshaw AL, Hawboldt MM. Puzzling persistent hyperamylasemia, probably neither pancreatic nor pathologic. Am J Surg 1988;155:453–6.
5. 5. Swensson EE, Maull KI. Clinical significance of elevated serum and urine amylase levels in patients with appendicitis. Am J Surg 1981;142:667–70.
6. 6. Ericson S, Sjöbäck I. Salivary factors in children with recurrent parotitis. Part 2: Protein, albumin, amylase, IgA, lactoferrin lysozyme and kallikrein concentrations. Swed Dent J 1996;20: 199–207.
7. 7. Yuan JJ, Coplen DE, Petros JA, et al. Effects of rectal examination, prostatic massage, ultrasonography and needle biopsy on serum prostate specific antigen levels. J Urol 1992;147:810–4.
8. 8. Ornstein DK, Rao GS, Smith DS, Ratliff TL, Basler JW, Catalona WJ. Effect of digital rectal examination and needle biopsy on serum total and percentage of free prostate specific antigen levels. J Urol 1997;157:195–8.

9. 9. Toros SZ, Ozel L, Yekrek MM, et al. Does thyroid gland examination by palpation alter serum hormone levels? Laryngoscope 2010;120:1322–5.
10. 10. Lever E, Refetoff S, Scherberg NH, Carr K. The influence of percutaneous fine needle aspiration on serum thyroglobulin. J Clin Endocrinol Metab 1983;56:26–9.
11. 11. Luboshitzky R, Lavi I, Ishay A. Serum thyroglobulin levels after fine-needle aspiration of thyroid nodules. Endocr Pract 2006;12:264–9.