Spit it Out

Question: A 43 year old woman is referred for unilateral parotid enlargement and cheek pain. She has had intermittent infections treated with antibiotics, sialogogues, and warm compresses. She has no history of Sjogren syndrome. Which of the following is the next best step in management?

a) Superficial parotidectomy

b) Total parotidectomy

c) Sialoendoscopy

d) MR imaging of the parotids

[Answer will be posted with next week's new question]

Answer to last week's question, “Getting the Sense” (November 15, 2021)

D - Nasal corticosteroids.