Pneumoparotid in “puffed cheek” computed tomography: incidence and relation to oropharyngeal conditions

Bhat, Venkatraman; Kuppuswamy, Murugan; Kumar, D.G. Santosh; Karthik, G A

doi:10.1016/j.bjoms.2014.11.019

Cited by 9 publications

(13 citation statements)

References 11 publications

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“…Finally, the buccinator and masseter muscles compress the duct in its lateral course, similar to when increased intraoral pressure occurs [17,18]. The anatomical features of Stensen's duct, patulous opening, and mucosal rigidity around the orifice can predispose entry of air into the parotid [12].…”

Section: Discussionmentioning

confidence: 98%

“…Subcutaneous edema may appear and crepitation can occur during salivary gland palpation. The patient sometimes complains of crackling sounds in the oral cavity and swelling over the parotid region [10][11][12]. The patient's general condition is also important, although apart from injury it does not usually give cause for concern.…”

Section: Discussionmentioning

confidence: 99%

“…However, similarly to the patient here, elevated body temperature or other indicators of inflammation, such as elevated CRP values and leukocytosis, are often not observed. Extension of air beyond the parotid can cause subcutaneous emphysema of the face, neck, mediastinum, and subsequent pneumothorax [12]. In the diagnosis of lesions, imaging is important (especially noninvasive ultrasound), sialography, FNAB, and contrast studies (CT or MRI) [12,20].…”

Section: Discussionmentioning

confidence: 99%

“…The lesion can be differentiated with cysts (developmental cysts, mucous cysts or sialocele, salivary duct cysts, lymphoepithelial cysts), tumors (especially with frequent benign tumors in the parotid glands, i.e., Warthin's tumor, mixed tumor), lymphomas, Kimura's disease, and sialadenitis [12,13].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of a Pneumoparotid

Miłoński¹,

Kolary²,

Spencer³

et al. 2019

J Hear Sci

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Introduction: There are many reasons for an increase in volume of the salivary glands, including inflammatory changes due to infection, autoimmune and allergic reactions, endocrine disorder, tumor, or injury.Aim: Presentation of a rare case of a pneumoparotid.Case report: A 54-year-old patient was admitted to the department for diagnosis of a nodular swelling in the area of the left parotid gland. The swelling had appeared about 3 weeks earlier, initially with pain, and had gradually increased in size. He denied head or neck injury, problems with chewing or swallowing food, or a dry mouth. Laryngological examination revealed swelling of the cheek in the left preauricular area, palpably soft, oval-shaped (about 20 x 15 mm), slightly painful when pressed, non-fluctuant, and with no associated skin changes. Fine-needle aspiration biopsy and contrast CT scan of the neck revealed a pneumoparotid on the left side. After decompression of the pneumoparotid, conservative treatment (a pressure dressing) was applied in an outpatient mode. Due to lack of therapeutic effect, the patient was qualified for surgical excision of the left pneumoparotid.Conclusions: A pneumoparotid of the salivary glands is a rare pathology affecting the parotid glands and is associated with an increase in intraoral pressure. Treatment is primarily avoidance of the triggering factor and pressure dressings, but sometimes surgery is necessary. The pathology in most cases does not cause permanent damage to the salivary glands and the effects of treatment are good.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Rare Case of a Pneumoparotid

Miłoński¹,

Kolary²,

Spencer³

et al. 2019

J Hear Sci

View full text Add to dashboard Cite

show abstract

“…In view of a transient distension of the oral vestibule during the examination, the procedure is well tolerated and usually not associated with any complications. An incidental observation during the examination is the occurrence of a pneumoparotid, occurring in approximately 17 % of examination [1]. Procedure may be associated with mild local pain, otherwise no major disability or complication reported during or after the procedure.…”

Section: Introductionmentioning

confidence: 99%

Air Leak into the Soft Tissues During the Puffed Cheek CT Evaluation of Oral Cavity: Diagnosis and Implication of a Rare Phenomenon

Bhat

Hadne

Tobias

2016

J. Maxillofac. Oral Surg.

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Leakage of small pockets of air in to soft tissues of cheek along vascular bundle is reported in a patient with ulcerated oral malignancy with history of recent biopsy. Leakage occurred during an attempt to puff the cheek during CT examination of oral cavity. Hereto undocumented phenomenon was self limiting and did not lead to clinical disability. Imaging appearance and likely mechanism of the complication are discussed.

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Imaging in Malignancy of the Oral Cavity and Role of PET CT in Squamous Cell Carcinoma of Head and Neck Region

Bhat

Sunil

2016

Contemporary Oral Oncology

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Pneumoparotid in “puffed cheek” computed tomography: incidence and relation to oropharyngeal conditions

Cited by 9 publications

References 11 publications

A Rare Case of a Pneumoparotid

A Rare Case of a Pneumoparotid

Air Leak into the Soft Tissues During the Puffed Cheek CT Evaluation of Oral Cavity: Diagnosis and Implication of a Rare Phenomenon

Imaging in Malignancy of the Oral Cavity and Role of PET CT in Squamous Cell Carcinoma of Head and Neck Region

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