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Pneumoparotitis: a case report
Angela E McGreevy1, Anna M O'Kane, David McCaul
1ENT Department, Craigavon Area Hospital, Portadown, Northern Ireland. angelamcgreevy@doctors.org.uk
Head & Neck
|March 21, 2012
Summary
Pneumoparotid, a rare cause of parotid enlargement due to air insufflation, can lead to chronic infection. Surgical gland excision effectively resolved symptoms in a chronic case.
Area of Science:
- Otorhinolaryngology
- Surgical Pathology
Background:
- Pneumoparotid, characterized by parotid gland enlargement, results from retrograde air insufflation through Stensen's duct.
- Conservative management is typical for acute cases, often leading to a short clinical course.
Observation:
- A 48-year-old male presented with chronic painful facial swelling and recurrent infections.
- Clinical findings included parotid swelling, surgical emphysema, and a dilated Stensen's duct.
- CT confirmed pneumoparotitis with cystic changes and intraparotid duct dilation.
Findings:
- Chronic pneumoparotitis can develop from repeated retrograde air and saliva movement, causing infection and sialectasis.
- Surgical excision of the parotid gland led to symptom resolution in this chronic case.
Implications:
- Early identification and management of the causative insult are crucial for preventing chronic sequelae.
- Glandular excision is a viable treatment for refractory chronic pneumoparotitis.
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