CASE STUDY
A RARE CASE OF A PNEUMOPAROTID
Jarosław Miłoński 1, A,C,E,   Katarzyna Kolary 1, B,F,   Shikha Spencer 1, F,   Jurek Olszewski 1, D  
 
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Department of Otolaryngology, Laryngological Oncology, Audiology and Phoniatrics, II Chair of Otolaryngology, Medical University of Lodz, Poland
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
CORRESPONDING AUTHOR
Jurek Olszewski   

Jurek Olszewski, Medical University of Lodz, Department of Otolaryngology and Laryngological Oncology, Audiology and Phoniatrics; 90-549 Lodz, 113 Zeromskiego St., Poland; email: jurek.olszewski@umed.lodz.pl; fax: +48 42 6393580; mobile +48 603112524
Publication date: 2020-04-08
 
J Hear Sci 2019;9(4):46–50
 
KEYWORDS
ABSTRACT
Introduction:
There are many reasons for an increase in volume of the salivary glands, including inflammatory changes due to infection, autoimmune and allergic reactions, endocrine disorder, tumor, or injury.

Aim:
Presentation of a rare case of a pneumoparotid

Case report:
A 54-year-old patient was admitted to the department for diagnosis of a nodular swelling in the area of the left parotid gland. The swelling had appeared about 3 weeks earlier, initially with pain, and had gradually increased in size. He denied head or neck injury, problems with chewing or swallowing food, or a dry mouth. Laryngological examination revealed swelling of the cheek in the left preauricular area, palpably soft, oval-shaped (about 20 x 15 mm), slightly painful when pressed, non-fluctuant, and with no associated skin changes. Fine-needle aspiration biopsy and contrast CT scan of the neck revealed a pneumoparotid on the left side. After decompression of the pneumoparotid, conservative treatment (a pressure dressing) was applied in an outpatient mode. Due to lack of therapeutic effect, the patient was qualified for surgical excision of the left pneumoparotid.

Conclusions:
A pneumoparotid of the salivary glands is a rare pathology affecting the parotid glands and is associated with an increase in intraoral pressure. Treatment is primarily avoidance of the triggering factor and pressure dressings, but sometimes surgery is necessary. The pathology in most cases does not cause permanent damage to the salivary glands and the effects of treatment are good.

 
REFERENCES (23)
1.
Luaces R, Ferreras J, Patiño B, Garcia-Rozado A, Vázquez I, López-Cedrún JL. Pneumoparotid: a case report and review of the literature. J Oral Maxillofac Surg 2008;66(2):362-5.
 
2.
Huang PC, Schuster D, Misko G. Pneumoparotid: a case report and review of its pathogenesis, diagnosis, and management. Ear Nose Throat J 2000;79(4):316-7.
 
3.
Nicot R, Myon L, Konopnicki S, Ferri J, Raoul G. Pneumoparotid: a rare cause of recurrent parotid swelling. Rev Stomatol Chir Maxillofac Chir Orale. 2014;115(2):111-3. .
 
4.
Martín-Granizo R, Herrera M, García-González D, Mas A. Pneumoparotid in childhood: report of two cases. J Oral Maxillofac Surg 1999;57(12):1468-71.
 
5.
McGreevy AE, O’Kane AM, McCaul D, Basha SI. Pneumoparotitis: a case report. Head Neck 2013;35(2):55-9..
 
6.
Cabello M, Macías E, Fernández-Flórez A, Martínez-Martínez M, Cobo J, de Carlos F. Pneumoparotid associated with a mandibular advancement device for obstructive sleep apnea. Sleep Med 2015;16(8):1011-3.
 
7.
Yamazaki H, Kojima R, Nakanishi Y, Kaneko A. A case of early pneumoparotid presenting with oral noises. J Oral Maxillofac Surg 2018;76(1):67-69.
 
8.
Kyung SK, Heurtebise F, Godon A, Rivière MF, Coatrieux A. Head-neck and mediastinal emphysema caused by playing a wind instrument. Eur Ann Otorhinolaryngol Head Neck Dis 2010;127(6):221-3.
 
9.
Kirsch CM, Shinn J, Porzio R, Trefelner E, Kagawa FT, Wehner JH, Jensen WA. Pneumoparotid due to spirometry. Chest 1999;116(5):1475-8.
 
10.
Ahuja CK, Yadav MK, Gupta V, Khandelwal N. Incidental pneumoparotid detected on computed tomography: Should it raise an alarm? Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114(6):792-5.
 
11.
Grainger J, Saravanappa N, Courteney-Harris RG. Bilateral pneumoparotid. Otolaryngol Head Neck Surg 2006;134(3):531-2.
 
12.
Bhat V, Kuppuswamy M, Santosh Kumar DG, Bhat V, Karthik GA. Pneumoparotid in “puffed cheek” computed tomography: incidence and relation to oropharyngeal conditions. Br J Oral Maxillofac Surg 2015;53(3):239-43.
 
13.
Potet J, Arnaud FX, Valbousquet L, Ukkola-Pons E, Donat-Weber G, Thome A, Peroux E, Teriitehau C, Baccialone J. Pneumoparotid, a rare diagnosis to consider when faced with unexplained parotid swelling. Diagn Interv Imaging 2013;94(1):95-7.
 
14.
Alcalde RE, Ueyama Y, Lim DJ, Matsumura T. Pneumoparotid: report of a case. J Oral Maxillofac Surg 1998;56(5):676-80.
 
15.
Han S, Isaacson G. Recurrent pneumoparotid: cause and treatment. Otolaryngol Head Neck Surg 2004;131(5):758-61.
 
16.
Agha RA, Borrelli MR, Farwana R, Koshy K, Fowler A, Orgill DP. The SCARE 2018 Statement: updating Consensus Surgical CAse REport (SCARE) Guidelines, Int J Surgery 2018;60:132-136.
 
17.
Goguen LA, April MM, Karmody CS, Carter BL Self-induced pneumoparotitis Arch Otolaryngol Head Neck Surg 1995 Dec; 121(12): 1426-9.
 
18.
Brown FH1, Ogletree RC, Houston GD. Pneumoparotitis associated with the use of an air-powder prophylaxis unit. J Periodontol. 1992 Jul;63(7):642-4.
 
19.
Brodie HA, Chole RA. Recurrent pneumosialadenitis: a case presentation and new surgical intervention. Otolaryngol Head Neck Surg. 1988 Apr;98(4):350-3.
 
20.
Ghanem M, Brown J, McGurk M. Pneumoparotitis: a diagnostic challenge. Int J Oral Maxillofac Surg. 2012 Jun;41(6):774-6.
 
21.
Nassimbeni G, Ventura A, Boehm P, Guastalla P, Zocconi E. Selfinduced pneumoparotitis. Clin Pediatr 1995;34:160–2.
 
22.
Franco V, Houliat T, Devras F, Traissac L. Pneumoparotide: à propos d’un cas. Rev Laryngol Otol Rhinol 2002;123:149–51.
 
23.
Curtin JJ, Ridley NTF, Cumberworth VL, et al. Pneumoparotitis. J Laryngol Otol 1992;106:178–9.