Pneumoparotid due to Spirometry

A case of anesthesia mumps after general anesthesia

“…Possible explanations include positive pressure ventilation during general anesthesia and increased pressure in the oral cavity. Pneumoparotitis has been reported in the following situations or maneuvers in the literature: wind instrumentalists, balloon and glass blowers, bicycle tire inflation by mouth, dental procedures using air-powered equipment, cough in chronic obstructive pulmonary disease and cystic fibrosis, nose blowing, whistling, valsalva maneuver to clear ears, and spirometry [4]. We thought that the clinical picture in the present case may have resulted from intra-oral pressure increase via mask ventilation during general anesthesia.…”

“…Obstructive, inflammatory, metabolic, and neoplastic causes of parotid gland enlargement should be ruled out. Crepitation on palpation is diagnostic for pneumoparotitis, but it can be mistaken in up to 50% of the patients [4]. Gland swelling, erythema, and tenderness on palpation may be detected in pneumoparotitis as a consequence of inflammation and infection [5].…”

Facial, Cervical, and Mediastinal Emphysema of the Clarinet Player: Case Report

“…However, we could not address any point of air entrance in any of these regions. Pneumoparotitis, the presence of air in the parotid gland, may be seen in cases of increased intraoral pressure (8). However, we do not always encounter pneumoparotitis in wind instrument players or glass blowers who frequently experience increased intraoral pressure.…”

Pneumothorax During Dental Care

“…In addition to pneumothorax, air passing through the potential spaces of the neck has been implicated in complications ranging from otalgia, eustachian tube dysfunction and temporary hearing loss, 14 dysphagia and dysphonia, 15 pneumoperito- neum and pneumopericardium 9 to pneumoparotid 16 ; even air emboli have been reported. 17 Barotrauma has resulted from a number of other unusual events: use of hydrogen peroxide as an antiseptic in the oral area, 18 cocaine or other drug use, status asthmaticus, arthroscopy, scuba diving, adenotonsillectomy, spirometry, gastrointestinal instrumentation, and even secondary to increased intrathoracic pressure, as with a Valsalva maneuver (eg, labor).…”