Yamazaki Hiroshi, Kojima Rena, Nakanishi Yasuhiro, Kaneko Akihiro
Associate Professor, Department of Oral and Maxillofacial Surgery, Tokai University Oiso Hospital, Kanagawa; Jinkohkai Hospital, Dentistry and Oral Surgery, Kanagawa; Department of Oral and Maxillofacial Surgery, Tokai University School of Medicine, Kanagawa, Japan.
Resident, Department of Oral and Maxillofacial Surgery, Tokai University Oiso Hospital, Kanagawa; Department of Oral and Maxillofacial Surgery, Tokai University School of Medicine, Kanagawa, Japan.
J Oral Maxillofac Surg. 2018 Jan;76(1):67-69. doi: 10.1016/j.joms.2017.05.039. Epub 2017 Jun 12.
A 53-year-old man presented with the chief complaint of oral noises. No lesion could be observed in the oral cavity. Ultrasound detected several high-echogenicity areas inside the bilateral parotid ducts, and the initial stage of pneumoparotid was diagnosed. It was considered that air had entered each duct in retrograde fashion through the parotid papilla because of repeated compression of the bilateral parotid glands by the patient who had the habit of compressing the buccal region. This case suggests that ultrasound is effective for diagnosing the initial stage of pneumoparotid.
一名53岁男性以口腔有杂音为主诉就诊。口腔内未观察到病变。超声检查发现双侧腮腺导管内有多个高回声区,诊断为腮腺积气初期。考虑是由于有挤压颊部习惯的患者反复挤压双侧腮腺,空气经腮腺乳头逆行进入各导管。该病例提示超声对腮腺积气初期的诊断有效。