双侧腮腺气肿的保守治疗：唾液腺内镜检查及类固醇冲洗
Conservative management of bilateral pneumoparotitis with sialendoscopy and steroid irrigation.
作者信息
Konstantinidis Iordanis, Chatziavramidis Angelos, Constantinidis Jannis
机构信息
2nd Academic ENT Department, Aristotle University, Papageorgiou General Hospital, Thessaloniki, Greece.
出版信息
BMJ Case Rep. 2014 Oct 29;2014:bcr2013201429. doi: 10.1136/bcr-2013-201429.
Pneumoparotitis is a rare condition related to retrograde airflow into the ductal system of the gland and secondary infections. Although counselling is enough in the majority of cases, persistent problems require surgery. Sialendoscopy and ductal irrigation with steroids have never been described as a treatment option. We present the case of a 61-year-old man with recurrent bilateral parotid swellings who had three episodes of sialadenitis on the right side within 2 years. Massage of the glands revealed air bubbles coming out from both papillae. A previous CT scan confirmed the presence of air in both parotid glands. The patient underwent sialendoscopy and irrigation of the ductal system with prednisolone. Ductal irrigation with steroids in three additional sessions led to a significant improvement of symptoms 6 months later. Sialendoscopy and irrigation with steroids could be another treatment modality in cases of recurrent pneumoparotitis avoiding major surgery.
腮腺气肿是一种罕见的疾病，与腺体导管系统的逆行气流和继发感染有关。尽管在大多数情况下，咨询就足够了，但持续性问题需要手术治疗。唾液腺内镜检查和用类固醇进行导管冲洗从未被描述为一种治疗选择。我们报告一例61岁男性，双侧腮腺反复肿胀，在2年内右侧发生了3次涎腺炎。按摩腺体时发现两个乳头都有气泡冒出。之前的CT扫描证实双侧腮腺内均有气体。该患者接受了唾液腺内镜检查并用泼尼松龙冲洗导管系统。另外三次用类固醇进行导管冲洗在6个月后使症状得到了显著改善。对于复发性腮腺气肿病例，唾液腺内镜检查和用类固醇冲洗可能是另一种避免大手术的治疗方式。
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