“…1,2 It is described as a benign self-limiting enlargement of parotid gland appearing after GA, although most commonly reported in peri operative period a case has been reported from ICU. 6 Various causes have been implicated in this condition which includes positioning during surgery, obesity, drugs, hypothyroidism etc. 7 Positioning during surgery has been pointed out as an important cause for this condition, most important being prone, sitting, head extension, left decubitus where there is mechanical obstruction to salivary gland out flow or blockage of Stenson's duct.…”