Kubota Wakako, Kyan-Onodera Makiko, Fujimoto Yasuomi, Sakuma Akihiro, Katada Ryuji, Sugiura Chihiro
Department of Radiology, Sapporo Tokushukai Hospital, Sapporo 0040041, Hokkaido, Japan.
Department of Dentistry and Oral Surgery, Sapporo Tokushukai Hospital, Sapporo 0040041, Hokkaido, Japan.
World J Clin Cases. 2024 Dec 6;12(34):6705-6714. doi: 10.12998/wjcc.v12.i34.6705.
Pneumoparotid is a rare disease associated with retrograde airflow into the ductal system. There is no established treatment for this disease, which has no known complications. Mouth puffing and playing wind instruments are known to be the causes of this disease.
We managed a case, in which pneumoparotid suddenly recurred 4 months after surgery for purulent parotiditis. The patient did not report any obvious etiological factors, such as mouth puffing or playing a wind instrument. We reviewed 128 articles (from 1941 to 2023) that reported on a total of 166 patients with pneumoparotid, including the patient from the present case report, with imaging findings. This is the first reported case of pneumoparotid following surgery for purulent parotitis. The etiology in our case was classified as idiopathic.
Imaging findings could be sufficient for accurate pneumoparotid diagnoses and the exclusion of complications; computed tomography could be useful.
腮腺积气是一种罕见疾病，与气流逆行进入导管系统有关。该疾病尚无既定的治疗方法，也无已知并发症。已知吹口哨和吹奏管乐器是该疾病的病因。
我们处理了一例化脓性腮腺炎手术后4个月腮腺积气突然复发的病例。患者未报告任何明显的病因，如吹口哨或吹奏管乐器。我们回顾了128篇（1941年至2023年）报告，这些报告共涉及166例腮腺积气患者，包括本病例报告中的患者，并分析了其影像学表现。这是首例化脓性腮腺炎手术后发生腮腺积气的报告病例。我们病例的病因归类为特发性。
影像学表现可能足以准确诊断腮腺积气并排除并发症；计算机断层扫描可能有用。
