Han Sehjin, Isaacson Glenn
Department of Otolaryngology-Head and Neck Surgery, Northwestern University School of Medicine, Chicago, IL, USA.
Otolaryngol Head Neck Surg. 2004 Nov;131(5):758-61. doi: 10.1016/j.otohns.2004.04.035.
To document the etiology and successful treatment of severe recurrent pneumoparotid.
Computed tomography, ductal measurement by probe size, surgical treatment.
We performed a superficial parotidectomy for a 13-year-old with a history of recurrent parotitis. He subsequently developed recurrent pneumoparotid in the contralateral gland with subcutaneous dissection of air into the face, neck, and mediastinum. At surgery, Stensen's ducts were measured and found to be abnormally patent bilaterally compared to standardized norms. Parotid duct ligation, commonly used for sialorrhea, was employed as a novel treatment and was curative.
Insufflation of air into the parotid duct system can trouble woodwind instrument players, can complicate dental procedures, or can be self-induced. It is generally a benign condition requiring no therapy. Occasionally, pneumoparotid can be recurrent and lead to inflammation and infection of the parotid or subcutaneous emphysema.
In selected cases of recurrent pneumoparotid, ductal ligation may be curative.
记录重度复发性腮腺积气的病因及成功治疗方法。
计算机断层扫描、用探头测量导管、手术治疗。
我们为一名有复发性腮腺炎病史的13岁患者实施了腮腺浅叶切除术。随后，他对侧腺体出现复发性腮腺积气，空气经皮下扩散至面部、颈部和纵隔。手术时，测量了腮腺导管，发现与标准规范相比，双侧导管异常通畅。腮腺导管结扎术通常用于治疗流涎，此次作为一种新的治疗方法应用并治愈了该病。
腮腺导管系统内的气体注入会给木管乐器演奏者带来困扰，会使牙科手术复杂化，或者可能是自我诱发的。它通常是一种无需治疗的良性病症。偶尔，腮腺积气可能会复发并导致腮腺炎症和感染或皮下气肿。
在复发性腮腺积气的特定病例中，导管结扎术可能具有治愈作用。
