Parotidite bilateral em paciente sob tratamento com pressão positiva contínua das vias aéreas

Abstract

Parotitis may have occurred after retrograde air flow in the Stensen duct during CPAP application. After the exclusion of possible viral and bacteriological etiologies and possible drug reactions we can focus on this diagnosis.

Acute Parotitis as a Complication of Noninvasive Ventilation

“…3,4 In our case, this complication happened with an oronasal mask meaning that there is no relationship between the kind of mask and parotitis. Moreover, antibiotics and corticosteroids were the only new treatment introduced, while NIV was continued, as in the case described by Abdullayev et al, 4 suggesting that this complication may not only be promoted by NIV. Advanced age, dehydration state, and absence of salivary glands stimulation by mastication would be important contributing factors.…”

“…Independently of underlying mechanisms, obesity, surgeries performed in the prone or lateral positions, neurosurgical procedures, long-lasting surgery, and sitting position have been reported as favoring factors in anesthesia mumps. 6,8,11 While it is well recognized as an anesthesia complication, we found only 3 reports describing acute parotitis from ICU, 3,4,11 but only 2 occurred as a complication of NIV with total face mask. 3,4 Authors have advanced the possible compression of the parotid duct as a cause of this complication.…”

“…6,8,11 While it is well recognized as an anesthesia complication, we found only 3 reports describing acute parotitis from ICU, 3,4,11 but only 2 occurred as a complication of NIV with total face mask. 3,4 Authors have advanced the possible compression of the parotid duct as a cause of this complication. 3,4 In our case, this complication happened with an oronasal mask meaning that there is no relationship between the kind of mask and parotitis.…”

“…3,4 Authors have advanced the possible compression of the parotid duct as a cause of this complication. 3,4 In our case, this complication happened with an oronasal mask meaning that there is no relationship between the kind of mask and parotitis. Moreover, antibiotics and corticosteroids were the only new treatment introduced, while NIV was continued, as in the case described by Abdullayev et al, 4 suggesting that this complication may not only be promoted by NIV.…”

“…Although several complications have been described, such as nasal and oropharyngeal dryness, pressure sores due to mask compression, ocular irritation, epistaxis, or aerophagia, acute swelling of the parotid glands remains a scarcely reported condition during NIV. [2][3][4]…”