Pneumoparotitis: a diagnostic challenge

Ghanem, Maha; Brown, J.; McGurk, M.

doi:10.1016/j.ijom.2011.12.013

Cited by 25 publications

(22 citation statements)

References 9 publications

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“…In the majority of cases, pneumoparotid is self-induced due to psychiatric disorders3 or behavioural problems 4. Children often inflate parotids in order to avoid school5 and adolescents develop pneumoparotid as an adjustment reaction 6.…”

Section: Introductionmentioning

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: Introductionmentioning

confidence: 99%

Conservative management of bilateral pneumoparotitis with sialendoscopy and steroid irrigation

Konstantinidis¹,

Chatziavramidis²,

Constantinidis³

2014

BMJ Case Reports

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“…Pneumoparotid is a rare condition, with air in the parotid gland. [1][2][3][4][5][6][7] It results from air reflux into the parotid gland, caused by high increase in intraoral pressure, which overcomes the parotid gland's normal protective mechanism.…”

Section: Discussionmentioning

confidence: 99%

“…In approximately 50% of patients with pneumoparotid, crepitus can be found in the parotid gland. [1][2][3][4][5] Frothy saliva or air bubbles from the Stensen's duct orifice, can also be detected during compression of the parotid gland. [1][2][3][4][5] Extension of air may produce subcutaneous emphysema of the face and neck, pneumomediastinum, or pneumothorax.…”

Section: -7)mentioning

confidence: 99%

“…Pneumoparotid is a rare cause of parotid gland swelling, and caused by retrograde air reflux from the oral cavity, into the parotid gland via Stensen's duct. [1][2][3][4][5][6][7] Most patients complained of painless swelling in the parotid region. [1][2][3][4][5][6][7] Herein, we report a case of pneumoparotid, incidentally diagnosed without symptoms on computed tomography (CT), for follow-up of parotid lymph node enlargement.…”

Section: Introductionmentioning

confidence: 99%

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Incidentally Diagnosed Asymptomatic Pneumoparotid

Kim¹,

Park²,

Jung³

et al. 2019

Korean J Head Neck Oncol

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“…Air in the duct with inflammation is termed “pneumoparotitis,” which is a rare cause of parotid swelling. 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 …”

Section: Introductionmentioning

confidence: 99%