Anesthesia mumps after thyroidectomy

Bilateral Anesthesia Mumps After Robot-Assisted Hysterectomy Under General Anesthesia: Two Case Reports

“…Acute parotid gland swelling or "anesthesia mumps" is a rare peri-or post-operative condition that has been reported in several studies [3,[5][6][7][8][9][10][11]. The exact mechanism underlying the development of anesthesia mumps is not clear, but there are several hypotheses: theoretically, in conditions causing salivary stasis, secondary salivary infection could occur due to mechanical obstruction of the salivary duct; a medical condition, such as diabetes mellitus, hepatic failure, renal failure, hypothyroidism, Sjögren's syndrome, depression or malnutrition could underlie development of anesthesia mumps; the use of perioperative medications, such as anticholinergic agents, could cause this condition; or it could result from dehydration.…”

“…Straining or coughing during or after anesthesia may increase positive pressure in the oral cavity. Furthermore, peri-operative dehydration and use of muscle relaxants (succinylcholine) or anticholinergics (glycopyrrolate) increase the risk of a loss of muscle tone around Stensens' duct, which can in turn result in retrograde passage of air into the parotid gland [2,5,8].…”

“…Anesthesia mumps refers to a rare post-operative acute parotid gland swelling that usually resolves within a few days [1][2][3]. The first report of anesthesia mumps was by Attas in 1969 [4], and many subsequent cases have been reported during thyroidectomy, spinal surgery, plastic surgery, gynecological surgery, neurosurgery, thoracotomy and nephrectomy [3,[5][6][7][8][9][10][11]. However, the etiology of anesthesia mumps remains unknown, although conditions causing salivary duct stasis may be responsible [12].…”

Pneumoparotitis as a complication of long‐term oronasal positive airway pressure for sleep apnea

“…Pneumoparotitis has been previously reported with various activities that increase intraoral pressures, such as glass blowing, playing wind instruments, exercising, and self‐induced behaviors often linked to psychiatric comorbidities . Iatrogenic pneumoparotid has been seen as a complication of spirometry, dental procedures, fine‐needle aspiration of the parotid gland, and positive pressure ventilation used perioperatively or in the intensive care setting commonly referred to as “anesthesia mumps.” Repeated episodes of pneumoparotitis may lead to chronic inflammation, infection, or sialectasis …”

“…3 Iatrogenic pneumoparotid has been seen as a complication of spirometry, 4 dental procedures, 5,6 fine-needle aspiration of the parotid gland, 7 and positive pressure ventilation used perioperatively or in the intensive care setting commonly referred to as "anesthesia mumps." 8,9 Repeated episodes of pneumoparotitis may lead to chronic inflammation, infection, or sialectasis. 10 Obstructive sleep apnea syndrome, which affects approximately 4% of adult men and 2% of adult women 11 is characterized by airway obstruction leading to episodes of disrupted or shallow breathing known as apnea spells.…”