Acute unilateral parotid gland swelling after lateral decubitus position under general anesthesia

Abstract

Acute swelling of the parotid gland after general anesthesia (commonly known as anesthesia mumps or acute postoperative sialadenitis) is a rare but declared complication of anesthesia. The etiology is not clear, but some possible causes such as obstruction of glandular excretory ducts caused by patient position and increase in the viscosity of the saliva because of acute dehydratation and/or medications like atropin have been proposed. We report a swelling in the left preauricular and postauricular region extending to the angle of the mandibule in a 35-year-old patient after left lateral decubitus position for laparoscopic nephrectomy.

A case of ′′anesthesia mumps′′ from ICU

“…Like in all other published cases,[123] the exact mechanism of “anesthesia mumps” development in our case is not clear. We suggest that the mechanisms may be: Firstly, ongoing intravascular dehydration with the use of renal replacement may thicken the parotid secretions and may lead to parotid duct occlusion.…”

“…It is reported predominantly from intraoperative/immediate postoperative setting and is recognized as “anesthesia mumps”. [12] We are presenting a sudden onset left-sided parotid gland swelling in a patient kept in the lateral decubitus position in our ICU.…”

“…Secondly, side turning may hamper the arterial supply or venous drainage of same sided parotid resulting in ischemic sialadenitis. [13] Ischemic sialadenitis is a unilateral painful salivary gland swelling. Especially in the setting of very high vasopressor requirement, like in our case this possibility can not be ruled out.…”

Acute Post Operative Unilateral Submandibular Gland Swelling following Acoustic Schwannoma Excision under General Anesthesia

“…It has also been reported in various non neurological procedures as well as in intensive care settings [1][2][3][4][5][6][7][8].…”

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“…Acute swelling of the face, neck and tongue are reported entities in patients undergoing various neurosurgical procedures in prone, lateral and park bench positions. It has also been reported in various non neurological procedures as well as in intensive care settings [1][2][3][4][5][6][7][8].…”