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Yoshida K. Etiology of Pneumoparotid: A Systematic Review. J Clin Med 2022; 12:jcm12010144. [PMID: 36614949 PMCID: PMC9821654 DOI: 10.3390/jcm12010144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 12/21/2022] [Accepted: 12/21/2022] [Indexed: 12/28/2022] Open
Abstract
Pneumoparotid describes retrogradely insufflated air within the Stensen's duct and/or parotid gland. It is a rare condition with variable causative factors. This study aimed to elucidate the clinical characteristics of pneumoparotid. Reports in all languages were evaluated following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement 2020. A literature search was conducted using electronic medical databases (PubMed, Scopus, Web of Science, EBSCO, Ovid, Google Scholar, SciElo, LILIACS, and others) from 1890 to 30 June 2022. One hundred and seventy patients (mean age; 28.4 years) from 126 studies were reviewed. Common symptoms included swelling (84.7%) and pain (35.9%). Characteristic findings were crepitus in the parotid region (40%) and frothy saliva from the orifice (39.4%). The common etiologies included abnormal habits such as blowing out the cheeks (23.5%), idiopathic (20%), self-induced (15.9%), playing wind instruments such as trumpets or flutes (8.8%), and diseases inducing coughing or sneezing (8.2%). The treatments included antibiotic therapy (30%), behavioral therapy to avoid continuing causative habits (25.9%), psychiatric therapy (8.2%), and surgical procedures (8.2%). Treatment should be individualized and etiology-based. However, the etiology was not identified in 20% of patients. Further detailed data from larger samples are required to clarify and improve the recognition of this entity.
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Affiliation(s)
- Kazuya Yoshida
- Department of Oral and Maxillofacial Surgery, National Hospital Organization, Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, Japan
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2
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Yoshida K. Pneumoparotid related to obstructive sleep apnea syndrome treated by oral appliance with anterior opening to reduce intraoral pressure. Clin Case Rep 2022; 10:e05816. [PMID: 35592044 PMCID: PMC9097368 DOI: 10.1002/ccr3.5816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 04/04/2022] [Accepted: 04/18/2022] [Indexed: 11/13/2022] Open
Abstract
Pneumoparotid is associated with retrograde air insufflation in Stensen's duct and the parotid gland. A 57‐year‐old man experienced swelling and pain in the right parotid region after sleeping during a flight. Pneumoparotid and obstructive sleep apnea syndrome were diagnosed. Pneumoparotid was suspected as caused by increased intraoral pressure during sleep; thus, an oral appliance to reduce intraoral pressure was effective. After 9 years, the symptoms recurred on the left side. The appliance was reinserted and helped substantially. This is the first case report of obstructive sleep apnea syndrome accompanying pneumoparotid, treated effectively with an oral appliance, with a 10‐year follow‐up.
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Affiliation(s)
- Kazuya Yoshida
- Department of Oral and Maxillofacial Surgery National Hospital Organization Kyoto Medical Center Kyoto Japan
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3
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Abstract
Salivary gland diseases are rare. In the European Union (EU) a disease is considered to be rare if not more than 5 of 10,000 people are affected by it. According to estimates in Germany are about 4 million people with a rare disease. In the EU are about 30 million people with rare diseases [1]. In the present work most of the described diseases of salivary glands and of the facial nerve fall in this category. They form a very heterogeneous group whose treatment takes place mainly in specialized centers. Still, it is essential for the otolaryngologist to identify and to diagnose these diseases in order to initiate the right therapeutic steps. The work is a compilation of innate andacquired rare salivary gland disorders and of rare facial nerve disorders. The etiologies of inflammatory diseases, autoimmune disorders and tumors are taken into account. For the individual topics, the current literature, if available, was evaluated and turned into summarized facts. In this context the development of new processes, diagnostics, imaging and therapy are considered. Genetic backgrounds of salivary gland tumors and the trends in the treatment of tumorous lesions of the facial nerve are picked up. Furthermore, also rare diseases of the salivary glands in childhood are described. Some of them can occur in adults as well, but differ in frequency and symptoms. Due to the rarity of these diseases, it is recommended to tread these in centers with special expertise for it. Finally, the difficulties of initiation of studies and the problems of establishing disease registries concerning salivary gland disorders are discussed. This is very relevant because these pathologies are comparatively seldom.
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Affiliation(s)
- Claudia Scherl
- Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie,
Universitätsklinikum Mannheim
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4
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Aljeaid D, Mubarak A, Imarli Y, Alotaibi O. Pneumoparotid: a rare but well-documented cause of parotid gland swelling. THE EGYPTIAN JOURNAL OF OTOLARYNGOLOGY 2020. [DOI: 10.1186/s43163-020-00053-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Abstract
Background
Pneumoparotid is a rare cause of parotid gland swelling. It is due to reflux of air through Stensen’s duct into the parenchyma of the parotid gland.
Case presentation
A case of self-induced pneumoparotid in a 12-year-old boy is reported. The diagnosis was primarily considered after careful history taking with special attention on the patient’s habits, and it was confirmed by computed tomography.
Conclusion
Pneumoparotid is a rare but well-documented clinical entity. It should be included in the differential diagnosis of parotid gland swelling.
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Gazia F, Freni F, Galletti C, Galletti B, Bruno R, Galletti C, Meduri A, Galletti F. Pneumoparotid and Pneumoparotitis: A Literary Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17113936. [PMID: 32498334 PMCID: PMC7313030 DOI: 10.3390/ijerph17113936] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 05/13/2020] [Accepted: 05/26/2020] [Indexed: 11/16/2022]
Abstract
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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Affiliation(s)
- Francesco Gazia
- Department of Adult and Development Age Human Pathology “Gaetano Barresi”, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy; (F.F.); (C.G.); (B.G.); (R.B.); (F.G.)
- Correspondence: ; Tel.: +39-0902212248; Fax: +39-0902212242
| | - Francesco Freni
- Department of Adult and Development Age Human Pathology “Gaetano Barresi”, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy; (F.F.); (C.G.); (B.G.); (R.B.); (F.G.)
| | - Cosimo Galletti
- Department of Adult and Development Age Human Pathology “Gaetano Barresi”, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy; (F.F.); (C.G.); (B.G.); (R.B.); (F.G.)
| | - Bruno Galletti
- Department of Adult and Development Age Human Pathology “Gaetano Barresi”, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy; (F.F.); (C.G.); (B.G.); (R.B.); (F.G.)
| | - Rocco Bruno
- Department of Adult and Development Age Human Pathology “Gaetano Barresi”, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy; (F.F.); (C.G.); (B.G.); (R.B.); (F.G.)
| | - Cosimo Galletti
- Comprehensive Dentistry Department, Faculty of Dentistry, Universitat de Barcelona, L’Hospitalet de Llobregat (Barcelona), 08907 Catalonia, Spain;
| | - Alessandro Meduri
- Department of Scienze Biomediche, Odontoiatriche e Delle Immagini Morfologiche e Funzionali, Unit of Ophthalmology, University of Messina, 98125 Messina, Italy;
| | - Francesco Galletti
- Department of Adult and Development Age Human Pathology “Gaetano Barresi”, Unit of Otorhinolaryngology, University of Messina, 98125 Messina, Italy; (F.F.); (C.G.); (B.G.); (R.B.); (F.G.)
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6
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Madhavan AA, Carr CM, Carlson ML, Lane JI. Imaging Findings Related to the Valsalva Maneuver in Head and Neck Radiology. AJNR Am J Neuroradiol 2019; 40:1987-1993. [PMID: 31727744 DOI: 10.3174/ajnr.a6309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Accepted: 09/23/2019] [Indexed: 11/07/2022]
Abstract
Forced exhalation against a closed glottis, known as the Valsalva maneuver, is an important clinical diagnostic and therapeutic tool due to its physiologic effects. Several unique conditions and anatomic changes can occur with repetitive or acute changes in pressure from the Valsalva maneuver. We will discuss and review various pertinent head and neck imaging cases with findings resulting from induced pressure gradients, including the Valsalva maneuver. Additionally, we will demonstrate the diagnostic utility of the Valsalva maneuver in head and neck radiology.
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Affiliation(s)
- A A Madhavan
- From the Departments of Radiology (A.A.M., C.M.C., J.I.L.)
| | - C M Carr
- From the Departments of Radiology (A.A.M., C.M.C., J.I.L.)
| | - M L Carlson
- Otolaryngology-Head and Neck Surgery (M.L.C.), Mayo Clinic School of Medicine, Rochester, Minnesota
| | - J I Lane
- From the Departments of Radiology (A.A.M., C.M.C., J.I.L.)
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7
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Lagunas JG, Fuertes AF. Self-induced parapharyngeal and parotid emphysema: A case of pneumoparotitis. ORAL AND MAXILLOFACIAL SURGERY CASES 2017. [DOI: 10.1016/j.omsc.2017.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Bhat V, Kuppuswamy M, Santosh Kumar DG, Bhat V, Karthik GA. Pneumoparotid in "puffed cheek" computed tomography: incidence and relation to oropharyngeal conditions. Br J Oral Maxillofac Surg 2014; 53:239-43. [PMID: 25542285 DOI: 10.1016/j.bjoms.2014.11.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2014] [Accepted: 11/27/2014] [Indexed: 10/24/2022]
Abstract
Pneumoparotid is common in patients with lesions of the oral cavity who have diagnostic computed tomography (CT) with the "puffed cheek" technique. Although such observations are often noted, we could find few papers about the incidence in relation to oropharyngeal conditions. We present a retrospective series of 47/300 patients who developed pneumoparotid during multidetector CT examination of the oropharyngeal region to assess the incidence and any possible correlation with regional disease. Patients were followed up for any symptoms and also for complications. In 14 patients the pneumoparotid was right-sided, in 17 left-sided, and in 16 it was bilateral. There was a significant association between the incidence of pneumoparotid and the site of disease, it being stronger (p<0.001) with lesions in the oral cavity than with those in the oropharynx and hypopharynx. Apart from brief discomfort, none of the patients had any symptoms after the procedure. In summary, pneumoparotid developed in 47/300 (16%) of our patients after multidetector CT when the "puffed cheek" technique was used, and was more common in patients with lesions of the oral cavity and anterior tongue than among patients with lesions of the oropharyngeal, nasopharyngeal, and hypopharyngeal regions. Few patients experienced transient fullness immediately after the procedure. None of our patients had lasting or infective symptoms.
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Affiliation(s)
- V Bhat
- Department of Radiology, Narayana Health, Narayana Multispeciality Hospital, Shaw Mazumdar Cancer Center Bangalore, Bommasandra, India.
| | - M Kuppuswamy
- Department of Radiology, Narayana Health, Narayana Multispeciality Hospital, Shaw Mazumdar Cancer Center Bangalore, Bommasandra, India.
| | - D G Santosh Kumar
- Department of Radiology, Narayana Health, Narayana Multispeciality Hospital, Shaw Mazumdar Cancer Center Bangalore, Bommasandra, India.
| | - V Bhat
- Department of Radiology, Narayana Health, Narayana Multispeciality Hospital, Shaw Mazumdar Cancer Center Bangalore, Bommasandra, India.
| | - G A Karthik
- Department of Radiology, Narayana Health, Narayana Multispeciality Hospital, Shaw Mazumdar Cancer Center Bangalore, Bommasandra, India.
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9
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Iro H, Zenk J. Salivary gland diseases in children. GMS CURRENT TOPICS IN OTORHINOLARYNGOLOGY, HEAD AND NECK SURGERY 2014; 13:Doc06. [PMID: 25587366 PMCID: PMC4273167 DOI: 10.3205/cto000109] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Salivary gland diseases in children are rare, apart from viral-induced diseases. Nevertheless, it is essential for the otolaryngologist to recognize these uncommon findings in children and adolescents and to diagnose and initiate the proper treatment. The present work provides an overview of the entire spectrum of congenital and acquired diseases of the salivary glands in childhood and adolescence. The current literature was reviewed and the results discussed and summarized. Besides congenital diseases of the salivary glands in children, the main etiologies of viral and bacterial infections, autoimmune diseases and tumors of the salivary glands were considered. In addition to the known facts, new developments in diagnostics, imaging and therapy, including sialendoscopy in obstructive diseases and chronic recurrent juvenile sialadenitis were taken into account. In addition, systemic causes of salivary gland swelling and the treatment of sialorrhoea were discussed. Although salivary gland diseases in children are usually included in the pathology of the adult, they differ in their incidence and sometimes in their symptoms. Clinical diagnostics and especially the surgical treatment are influenced by a stringent indications and a less invasive strategy. Due to the rarity of tumors of the salivary glands in children, it is recommended to treat them in a specialized center with greater surgical experience. Altogether the knowledge of the differential diagnoses in salivary gland diseases in children is important for otolaryngologists, to indicate the proper therapeutic approach.
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Affiliation(s)
- Heinrich Iro
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, University of Erlangen-Nuremberg, Germany
| | - Johannes Zenk
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, University of Erlangen-Nuremberg, Germany
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10
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Abstract
Parotid swelling in a child can represent any of a variety of pathologies, including lymphadenitis, autoimmune disorders, other inflammatory conditions, vascular malformations, or neoplasms. Parotitis is usually infectious in etiology and is generally treated with antibiotics and supportive management. We report a case of a child with recurrent idiopathic pneumoparotitis, and a review of literature and the disease process is provided.
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11
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Potet J, Arnaud FX, Valbousquet L, Ukkola-Pons E, Donat-Weber G, Thome A, Peroux E, Teriitehau C, Baccialone J. Pneumoparotid, a rare diagnosis to consider when faced with unexplained parotid swelling. Diagn Interv Imaging 2012. [PMID: 23200721 DOI: 10.1016/j.diii.2012.04.015] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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12
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Is it fluid or air causing anesthesia mumps? J Anesth 2012; 26:638-9. [DOI: 10.1007/s00540-012-1387-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2012] [Accepted: 03/21/2012] [Indexed: 10/28/2022]
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13
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McGreevy AE, O'Kane AM, McCaul D, Basha SI. Pneumoparotitis: a case report. Head Neck 2012; 35:E55-9. [PMID: 22431013 DOI: 10.1002/hed.21873] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2011] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Pneumoparotid is a rare cause of parotid enlargement. Pneumatic enlargement of the gland is caused by retrograde insufflation via Stensen's duct. Most reported cases have been managed conservatively, thus running a short course. METHODS AND RESULTS We report on a case of a 48-year-old man with a chronic painful right facial swelling and symptoms of repeated infection. Clinical examination found a parotid swelling with surgical emphysema and a dilated Stensen's duct. Pneumoparotitis with cystic changes and dilated intraparotid ducts was confirmed by CT. The patient proceeded to undergo excision of the gland, with subsequent resolution of symptoms. CONCLUSION Repeated retrograde movement of air and contaminated saliva leads to chronic infection and sialectasis. Management is aimed at preventing these sequelae by identifying and addressing the insult early; however, repeated pneumoparotid leads to chronic pneumoparotitis, the management of which is excision of the gland.
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Affiliation(s)
- Angela E McGreevy
- ENT Department, Craigavon Area Hospital, Portadown, Northern Ireland.
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14
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Prabhu SP, Tran B. Pneumoparotitis. Pediatr Radiol 2008; 38:1144. [PMID: 18626637 DOI: 10.1007/s00247-008-0930-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2008] [Revised: 05/01/2008] [Accepted: 06/04/2008] [Indexed: 11/28/2022]
Affiliation(s)
- Sanjay P Prabhu
- Department of Neuroradiology, Children's Hospital Boston, 300 Longwood Ave., Boston, MA, 02115, USA.
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15
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Luaces R, Ferreras J, Patiño B, Garcia-Rozado A, Vázquez I, López-Cedrún JL. Pneumoparotid: A Case Report and Review of the Literature. J Oral Maxillofac Surg 2008; 66:362-5. [DOI: 10.1016/j.joms.2006.10.007] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2006] [Revised: 06/07/2006] [Accepted: 10/06/2006] [Indexed: 10/22/2022]
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16
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Huang PC, Schuster D, Misko G. Pneumoparotid: A Case Report and Review of its Pathogenesis, Diagnosis, and Management. EAR, NOSE & THROAT JOURNAL 2000. [DOI: 10.1177/014556130007900420] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Pneumoparotid is considered to be a rare entity, but the diagnosis might not be as uncommon as reported. We report a case in which computed tomography incidentally revealed air in the parotid ducts bilaterally. Treatment is aimed at the elimination of predisposing and causative factors, but because our patient denied any symptoms or precipitating factors and had a benign presentation, no immediate intervention was initiated.
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Affiliation(s)
- Patti C. Huang
- Division of Otolaryngology, Department of Surgery, Duke University Medical Center, Durham, N.C
| | - David Schuster
- Department of Radiology, Asheville (N.C.) VA Medical Hospital
| | - Glen Misko
- Division of Otolaryngology, Department of Surgery, Duke University Medical Center, Durham, N.C
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17
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Martín-Granizo R, Herrera M, García-González D, Mas A. Pneumoparotid in childhood: report of two cases. J Oral Maxillofac Surg 1999; 57:1468-71. [PMID: 10596673 DOI: 10.1016/s0278-2391(99)90737-1] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- R Martín-Granizo
- Department of Oral & Maxillofacial Surgery, Hospital Clínico San Carlos, Madrid, Spain
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18
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Kirsch CM, Shinn J, Porzio R, Trefelner E, Kagawa FT, Wehner JH, Jensen WA. Pneumoparotid due to spirometry. Chest 1999; 116:1475-8. [PMID: 10559118 DOI: 10.1378/chest.116.5.1475] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Pneumoparotid has been described in patients who generate increased intraoral pressures when playing wind instruments, while coughing, and when undergoing dental work. Some patients have intentionally created pneumoparotid to avoid duties at school or in the military, or to gain attention. We describe a patient who developed pneumoparotid during pulmonary function testing. The diagnosis of pneumoparotid depends on a suggestive clinical situation and glandular swelling with or without crepitus. Observation of aerated saliva per Stensen's duct or air in the parotid duct and/or gland by any imaging study is diagnostic if infection with a gas-forming organism can be reasonably excluded. No specific treatment is required, other than the avoidance of predisposing activities.
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Affiliation(s)
- C M Kirsch
- Division of Respiratory and Critical Care Medicine, Santa Clara Valley Medical Center, San Jose, CA 95128, USA
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19
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Golz A, Joachims HZ, Netzer A, Westerman ST, Gilbert LM. Pneumoparotitis: diagnosis by computed tomography. Am J Otolaryngol 1999; 20:68-71. [PMID: 9950118 DOI: 10.1016/s0196-0709(99)90055-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A Golz
- Department of Otolaryngology-Head & Neck Surgery, Rambam Medical Center and Faculty of Medicine, Technion-Israel Institute of Technology, Haifa
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20
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Affiliation(s)
- R E Alcalde
- Department of Oral and Maxillofacial Surgery II, Okayama University Dental School, Japan
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21
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Gudlaugsson O, Geirsson AJ, Benediktsdóttir K. Pneumoparotitis: a new diagnostic technique and a case report. Ann Otol Rhinol Laryngol 1998; 107:356-8. [PMID: 9557773 DOI: 10.1177/000348949810700416] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Pneumoparotitis is a rare cause of parotid gland swelling. We report a case of self-induced pneumoparotitis that resulted in subcutaneous emphysema and pneumomediastinum after an open biopsy of the parotid gland. We suggest a new method for diagnosing this condition. This is done by insufflation of the cheeks with contrast in the oral cavity. A reflux of air and contrast is subsequently demonstrated by a computed tomography scan of the area.
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Affiliation(s)
- O Gudlaugsson
- Department of Medicine, Landspítalinn, National University Hospital Iceland, Reykjavík
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22
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Affiliation(s)
- G Nassimbeni
- Department of Pediatrics, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Trieste, Italy
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23
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Cook JN, Layton SA. Bilateral parotid swelling associated with chronic obstructive pulmonary disease. A case of pneumoparotid. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1993; 76:157-8. [PMID: 8361723 DOI: 10.1016/0030-4220(93)90196-b] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Acute enlargement of the parotid glands due to air insufflation is well reported under various names, the most appropriate of which is pneumoparotid. We report an unusual example of pneumoparotid, which was difficult to diagnose, that involved background swelling of the parotids because of the respiratory effort of chronic obstructive pulmonary disease and acute exacerbations associated with episodes of coughing.
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Affiliation(s)
- J N Cook
- Oral and Maxillofacial Unit, Middlesbrough General Hospital
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24
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Birzgalis AR, Curley JW, Camphor I. Pneumoparotitis, subcutaneous emphysema and pleomorphic adenoma. J Laryngol Otol 1993; 107:349-51. [PMID: 8391561 DOI: 10.1017/s0022215100123011] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Self-induced pneumoparotitis is a distinct clinical entity which should be considered in any inflammatory swelling of the parotid gland. When complicated by subcutaneous emphysema, other more important causes should be excluded. An unusual case is presented, which was further complicated by the presence of a pleomorphic adenoma.
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25
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Abstract
Self-induced pneumoparotitis has not been commonly associated with orthodontic treatment nor dental treatment in general. However, the patient described previously and the other reported cases demonstrate the distinct possibility that accommodation to appliance irritation by "puffing out" the cheeks could result in parotid swelling. Pneumoparotitis should definitely be considered in the evaluation of patients with parotid swelling, particularly in cases of unexplained swelling with rapid onset.
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Affiliation(s)
- M W McDuffie
- Department of Orthodontics, Eglin Air Force Base, Fla
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Brown FH, Ogletree RC, Houston GD. Pneumoparotitis associated with the use of an air-powder prophylaxis unit. J Periodontol 1992; 63:642-4. [PMID: 1507043 DOI: 10.1902/jop.1992.63.7.642] [Citation(s) in RCA: 27] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
A case reporting barotrauma to the parotid gland secondarily to the use of an air-powder prophylaxis unit is presented. Air pressure associated with these units usually exceeds that for air/driven turbines or air/water dental syringes, yet the reported incidence of iatrogenic trauma is very low. Improper angulation in the use of these instruments may result in serious sequellae. Differential diagnosis and physical examination following trauma to the parotid is discussed.
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27
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Ferlito A, Andretta M, Baldan M, Candiani F. Non-occupational recurrent bilateral pneumoparotitis in an adolescent. J Laryngol Otol 1992; 106:558-60. [PMID: 1624898 DOI: 10.1017/s0022215100120146] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
This is a case report of recurrent bilateral parotid swelling with intraglandular gaseous bubbles in a 14-year-old boy, together with a review of the literature on this condition, which is usually called pneumoparotitis. The disorder has been reported as an occupational hazard in wind instrument players and glass-blowers and also as a rare non-occupational disease, mainly in adolescents and often associated with psychological problems.
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Affiliation(s)
- A Ferlito
- ENT Department, University of Padua, Italy
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28
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Takenoshita Y, Kawano Y, Oka M. Pneumoparotis, an unusual occurrence of parotid gland swelling during dental treatment. Report of a case with a review of the literature. J Craniomaxillofac Surg 1991; 19:362-5. [PMID: 1795051 DOI: 10.1016/s1010-5182(05)80280-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
A 24-year-old male with pneumoparotis caused by the use of an air syringe during a routine restorative dental procedure during clinical training is presented. Reflux of air into the parotid gland due to increasing pressure is a rare cause of acute parotid swelling.--A discussion of this unusual case and review of the literature including its differential diagnosis and management form the basis of this report. Judicious use of intra-oral dental instruments using compressed air or gas is advised.
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Affiliation(s)
- Y Takenoshita
- Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kyushu University, Fukuoka, Japan
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