“…However, we do not always encounter pneumoparotitis in wind instrument players or glass blowers who frequently experience increased intraoral pressure. When there are abnormalities that affect Stensen's duct, such as inflammation, hypotonia or insufficiency of the buccinator muscle, hypertrophy of the masseter muscle or abnormal dilatation of the duct orifice, the reflux preventing mechanism may be disturbed (9). Air may inflate the parotid gland through the Stensen's duct, and the rupture of the aciner epithelium may cause air to leak into neighbouring potential spaces, leading to facial, cervical, or mediastinal emphysema (10).…”