Kwon So-Young, Kang Yoo-Jin, Seo Kwon-Hui, Kim Yumi
Department of Anesthesiology and Pain Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea.
Korean J Anesthesiol. 2015 Jun;68(3):300-3. doi: 10.4097/kjae.2015.68.3.300. Epub 2015 May 28.
Acute unilateral parotid gland swelling after general anesthesia, anesthesia mumps is rare and when occurred, it is associated with the patient's position and with long-lasting surgery. The exact mechanism or etiology has not been fully established but stasis of gland secretion, blockage of Stensen's duct by direct compression, or retrograde flow of air by increased the oral cavity pressure are suspicious reasons. We experienced a case of soft tissue swelling in the left preauricular and submandibular regions in a 40-year-old female patient after short-lasting, hysteroscopic myomectomy performed in the lithotomy position with no suspicious predisposing factor. It is required to pay attention on the fact that even with the usual face mask ventilation can lead to the development of anesthesia mumps.
全身麻醉后急性单侧腮腺肿胀，麻醉性腮腺炎罕见，一旦发生，与患者体位及长时间手术有关。确切机制或病因尚未完全明确，但腺体分泌淤滞、导管受直接压迫阻塞或口腔压力增加导致空气逆流等是可疑原因。我们遇到一例40岁女性患者，在截石位进行短时间宫腔镜子宫肌瘤切除术后，左耳前和下颌下区域出现软组织肿胀，无可疑诱发因素。需要注意的是，即使是普通面罩通气也可能导致麻醉性腮腺炎的发生。
