van Ardenne N, Kurotova A, Boudewyns A
Department of ENT, Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Edegem, Belgium.
B-ENT. 2011;7(4):297-300.
PROBLEMS/OBJECTIVES: Pneumoparotid is a rare condition in which air is insufflated through Stensen's duct into the parotid gland. This causes mostly painless swelling in the parotid region.
We report on a 7-year old girl presenting with painless unilateral swelling of the left parotid region, present for one month. Computer tomography showed the presence of air in the left parotid gland and in both the left and right Stensen's duct. A thorough history revealed the girl was insufflating the parotid glands intentionally as a response to stress. The patient was comforted and instructed to avoid insufflation manoeuvres, which resulted in complete resolution.
Pneumoparotid should be considered part of a differential diagnosis in children and adolescents presenting with painless uni- or bilateral swelling of the parotid gland. Supportive and conservative treatment is advocated.
问题/目的：腮腺积气是一种罕见的病症，空气通过斯滕森氏导管吹入腮腺。这主要导致腮腺区域无痛性肿胀。
我们报告一名7岁女孩，其左侧腮腺区域出现无痛性单侧肿胀，持续一个月。计算机断层扫描显示左侧腮腺以及左右两侧斯滕森氏导管内均有气体。详细病史显示，该女孩因压力而故意向腮腺吹气。患者得到安慰并被指示避免吹气动作，肿胀完全消退。
对于出现腮腺无痛性单侧或双侧肿胀的儿童和青少年，应将腮腺积气纳入鉴别诊断范围。提倡支持性和保守治疗。
