What should you do if there is swelling anterior to the earlobe and inflammation of Stenson's duct?

The correct response involves stimulating the parotid gland and checking for exudate. This practice is important in cases where there is swelling anterior to the earlobe and inflammation of Stenson’s duct, which can indicate a blockage or infection in the parotid gland, possibly leading to sialadenitis or a stone causing a backup of saliva.

By stimulating the parotid gland, one can help facilitate the flow of saliva, potentially flushing out any obstructive materials and allowing observation of any exudate that may indicate infection. This step is crucial in evaluating the condition further and determining the appropriate treatment.

While applying ice might help reduce some inflammation, it does not address the underlying issue of duct obstruction or infection. Administering antibiotics immediately might be premature without a clear diagnosis of an infection, and referring to an oral surgeon is usually a consideration for more complex or severe cases after initial evaluation. The best initial step is to assess the functionality of the gland and the presence of any exudative material to guide further management appropriately.