Acute Transient Sialadenopathy during Induction of Anesthesia

Attas, Mike; Sabawala, Phiroze B.; Keats, Arthur S.

doi:10.1097/00000542-196809000-00036

Cited by 63 publications

(31 citation statements)

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“…(3,5) Hence, awareness of this problem within the anaesthetic community is low. We believe that this complication (5,8,11) In the present two cases, our patients were not exposed to the aforementioned drugs that are known to be commonly (1) However, I-gel™ was found to result in lower incidences of postoperative sore throat, dysphagia and neck complaints, compared to the disposable laryngeal mask. (15) This is due to the inability of the unique non-inflatable cuff (found in I-gel™) to reach high intracuff pressures, making it a valuable asset.…”

Section: Discussionmentioning

confidence: 72%

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Acute unilateral submandibular gland swelling associated with the laryngeal mask airway

Suhitharan¹,

Seevanayagam²,

Parker³

et al. 2013

smedj

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We describe a rare complication of acute unilateral submandibular gland swelling following the use of laryngeal mask airway (LMA) in two patients with otherwise uneventful perioperative airway management. This is likely to be a consequence of the pressure exerted by the airway cuff on the tissues within the submandibular triangle. As this complication is rarely reported, its true incidence may in fact be higher, suggesting a need for greater attention on LMA cuff pressures and degree of cuff inflation. We discuss the presenting clinical features, pathophysiology and utilisation of ultrasonographic confirmation of sialadenopathy, and review the current anaesthetic literature to raise awareness of this unusual and under-reported complication of LMA. This complication can be mitigated by incorporating routine manometric checks and limiting intracuff pressures to < 60 cmH 2 O, potentially avoiding LMA insertions in patients with sialolithiasis and avoiding the use of nitrous oxide.

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Section: Discussionmentioning

confidence: 72%

“…It was first described in 1968 by Attas et al (8) as an enlargement in the salivary glands with rubbery consistency, occurring soon after a smooth anaesthetic induction and intubation. The swelling was described to have gradually decreased in size, becoming barely palpable after 30 mins.…”

Section: Discussionmentioning

confidence: 99%

Acute unilateral submandibular gland swelling associated with the laryngeal mask airway

Suhitharan¹,

Seevanayagam²,

Parker³

et al. 2013

smedj

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show abstract

“…The cause and detailed pathophysiology of anesthesia mumps remains unknown, but salivary duct occlusion, sialorrhea, venous congestion and venostasis, involvement of the autonomic nerves, and side effects of medications have been suggested [5,6].…”

Section: Discussionmentioning

confidence: 99%

A case of anesthesia mumps that required postoperative re-intubation

2018

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We encountered a 59-year-old man who first underwent left internal carotid endarterectomy for left internal carotid artery stenosis and then presented with postoperative swelling of the bilateral salivary glands. He then developed upper airway obstruction that required emergency tracheal intubation. The most likely cause was thought to be anesthesia mumps, which involves a complex interaction of multiple factors including pneumoparotitis, venous congestion, and excess saliva secretion. Many cases of salivary gland swelling recover after follow-up observation alone if there are no inflammatory findings; however, severe complications may sometimes occur. If upper airway obstruction develops as in the present case, then emergency airway management must also be considered and conscientious observation is necessary.

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“…Since first described by Attas et al [1] in 1968, there have been several reports of postoperative sialadenopathy, usually associated with endotracheal intubation and after perioral endoscopic procedures under local anesthesia [1][2][3][4][5]. More recently, sialadenopathy has been reported in association with the use of a laryngeal mask airway (LMA) [6,7].…”

Section: Introductionmentioning

confidence: 99%