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[Six cases of anesthesia mumps]
H Kimura1, Y Watanabe, K Mizukoshi
1Department of Otolaryngology, Faculty of Medicine, Toyama Medical and Pharmaceutical University.
Nihon Jibiinkoka Gakkai Kaiho
|November 1, 1993
Summary
Transient parotid gland enlargement, termed anesthesia mumps, occurred in six patients under general anesthesia. Swelling resolved within seven days, with minimal serum amylase changes, offering diagnostic insights.
Area of Science:
- Anesthesiology
- Surgical Pathology
Background:
- Acute transient enlargement of the parotid gland, known as anesthesia mumps, is a rare complication during general anesthesia.
- This condition presents with swelling of the parotid glands, often without significant pain or elevated serum amylase levels.
Observation:
- Six cases of anesthesia mumps were reported, with parotid gland enlargement observed in patients positioned laterally or prone.
- While one patient experienced swelling and tenderness, others were asymptomatic.
Findings:
- Parotid gland swelling resolved spontaneously within seven days in all reported cases.
- Serum amylase levels remained largely within normal ranges during the episodes of parotid enlargement.
- Possible etiological factors include mechanical compression, autonomic nervous system changes, vascular congestion, and airway manipulation.
Implications:
- The study provides valuable data on the occurrence and clinical course of anesthesia mumps.
- Recognizing anesthesia mumps aids in differentiating it from other causes of parotid swelling.
- This information can guide clinical management and reduce unnecessary investigations for anesthesia-related parotid enlargement.