Goguen L A, April M M, Karmody C S, Carter B L
Department of Otolaryngology, New England Medical Center, Boston, Mass, USA.
Arch Otolaryngol Head Neck Surg. 1995 Dec;121(12):1426-9. doi: 10.1001/archotol.1995.01890120082017.
Pneumoparotitis is a rare cause of enlargement of the parotid gland; it is often misdiagnosed and therefore incorrectly treated. We report three pediatric cases of self-induced pneumoparotitis and detail the clinical presentation, pathogenesis, radiographic findings, and treatment options. We also review the literature on the subject. In children, inflammatory swelling of the parotid gland is usually due to acute viral or bacterial infection, juvenile recurrent parotitis, or allergic, autoimmune, or systemic disease. Infrequently, swelling may result from air being forced through Stensen's duct, resulting in pneumoparotitis. This may occur as a transient or recurrent phenomenon. Recurrent parotid insufflation is not entirely benign and may predispose to sialectasias, recurrent parotitis, and even subcutaneous emphysema.
腮腺气肿是腮腺肿大的罕见原因；它常被误诊，因此治疗不当。我们报告3例儿童自我诱导性腮腺气肿病例，并详细阐述其临床表现、发病机制、影像学表现及治疗选择。我们还回顾了关于该主题的文献。在儿童中，腮腺的炎性肿胀通常是由急性病毒或细菌感染、青少年复发性腮腺炎、或过敏性、自身免疫性或全身性疾病引起的。腮腺气肿较少见，是由于空气通过腮腺导管强行进入所致。这可能是一种短暂或复发性现象。反复腮腺吹入气体并非完全无害，可能会引发涎腺扩张、复发性腮腺炎，甚至皮下气肿。
