Pneumoparotid during dental treatment

Piette, E; Walker, Richard

doi:10.1016/0030-4220(91)90550-v

Cited by 30 publications

(10 citation statements)

References 8 publications

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“…This explains why pneumoparotid occurs as an occupational disorder in glass and balloon blowers, and wind instrument players 11. Pneumoparotitis is also reported during general anaesthesia due to positive pressure12 and dental and orthodontic treatments 13. Numerous reports describe self-induced pneumatic autoinflation of parotids due to psychiatric or psychological problems.…”

Section: Discussionmentioning

confidence: 99%

Conservative management of bilateral pneumoparotitis with sialendoscopy and steroid irrigation

Konstantinidis¹,

Chatziavramidis²,

Constantinidis³

2014

BMJ Case Reports

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Pneumoparotitis is a rare condition related to retrograde airflow into the ductal system of the gland and secondary infections. Although counselling is enough in the majority of cases, persistent problems require surgery. Sialendoscopy and ductal irrigation with steroids have never been described as a treatment option. We present the case of a 61-year-old man with recurrent bilateral parotid swellings who had three episodes of sialadenitis on the right side within 2 years. Massage of the glands revealed air bubbles coming out from both papillae. A previous CT scan confirmed the presence of air in both parotid glands. The patient underwent sialendoscopy and irrigation of the ductal system with prednisolone. Ductal irrigation with steroids in three additional sessions led to a significant improvement of symptoms 6 months later. Sialendoscopy and irrigation with steroids could be another treatment modality in cases of recurrent pneumoparotitis avoiding major surgery.

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Section: Discussionmentioning

confidence: 99%

Conservative management of bilateral pneumoparotitis with sialendoscopy and steroid irrigation

Konstantinidis¹,

Chatziavramidis²,

Constantinidis³

2014

BMJ Case Reports

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“…Normal intraoral pressure is 2 to 3 mm Hg, in glassblowing and trumpet playing this pressure may increase until 150 mmHg facilitating the disease's development. Furthermore, iatrogenic pneumoparotid is described like complication of spirometry, odontoiatric procedures, fine needle aspiration of the parotid gland and positive pressure ventilation used preoperatively or in the intensive care setting [11,16,18,27,42,[50][51][52]. Long-term use of oronasal continuous positive airway pressure is a potential cause of pneumoparotid [41,44].…”

mentioning

confidence: 99%

Pneumoparotid and Pneumoparotitis: A Literary Review

Gazia

Freni

Galletti

et al. 2020

IJERPH

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Pneumoparotid is a rare condition of parotid swelling. The presence of the air in gland parenchyma is caused by an incompetent Stensen’s duct with high pressure may cause the acini’s rupture. We reviewed 49 manuscripts, from 1987 to today, that enrolled a total of 54 patients with pneumoparotid. Our review evaluated the following evaluation parameters: gender, age, etiology, clinical presentation, treatment, days of resolution after diagnosis, relapse and complications. The most frequent etiology is self-induction by swelling the cheeks (53.7%). This cause mainly involves children (74%), for conflicts with parents, excuses for not going to school, nervous tics or adults (16%) with psychiatric disorders. Iatrogenic causes are also frequent (16.6%), for dental treatments (55.5%) or use of continuous positive airway pressure (CPAP) (33.4%). Medical therapy is the most practiced (53.7%), in most cases it is combined with behavioral therapy (25.9%) or psychotherapy (25.9%). Surgery is rarely used (9.2%) as a definitive solution through parotidectomy (50%) or ligation of the duct (50%). The most common complication is subcutaneous emphysema (24.1%), sometimes associated with pneumomediastinum (5.5%). Careful treatment and management are necessary to ensure the resolution of the pathology and counteract the onset of complications.

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“…It has been described in wind instrument players and glass blowers [ 94 ]. However, it can also be associated with diving, dental treatment or recovery from an anaesthetic (coughing fits) [ 95 ]. It may also be self-induced in adolescents with psychosocial disorders [ 96 ].…”

Section: Salivary Gland Infection/inflammationmentioning

confidence: 99%