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Case of acute postoperative sialoadenitis with airway obstruction after general anesthesia
M. B. Nazarenko,
O. V. Makarov,
E. P. Rodionov,
A. V. Vlasenko,
L. A. Penzina,
O. L. Smolyaninov,
V. I. Makovey,
L. G. Shcherbakova https://doi.org/10.33667/2078-5631-2023-25-61-66
Abstract
Acute sialoadenitis (К11.2 МКБ 10) is one of the early post-operative complications. Swelling and infiltration of the salivary glands occur within a few minutes to 24 hours after surgery. This post-operative sialadenitis resolves spontaneously within 1–5 days, but rarely it can lead to serious complications. We present the clinical case of a 62-year-old female who underwent a spinal surgery in the prone position under general anesthesia. Three hours after the operation, we noted swelling of the neck, signs of acute respiratory failure, which required observation in intensive care unit and re-intubation of the trachea. Within 72 hours, swelling and infiltration of the salivary glands decreases. The patient was extubated and transferred to the neurosurgical department. Thus, acute post-operative sialoadenitis can cause the upper airway obstruction.
About the Authors
M. B. Nazarenko
City Clinical Hospital n.a. S.P. Botkin
Russian Federation
Russian Federation
Nazarenko Mikhail B., PhD Med, Centre for Anesthesiology and Resuscitation,
head of Dept of Anesthesiology and Resuscitation No. 34
Moscow
O. V. Makarov
City Clinical Hospital n.a. S.P. Botkin
Russian Federation
Russian Federation
Makarov Oleg V., PhD Med, Centre for Anesthesiology and Resuscitation, head of Dept of Anesthesiology and Resuscitation No. 23
Moscow
E. P. Rodionov
City Clinical Hospital n.a. S.P. Botkin; Russian Medical Academy for Continuing Professional Education
Russian Federation
Russian Federation
Rodionov Evgeniy P., PhD Med, professor, head of Centre for Anesthesiology and Resuscitation1, deputy chief physician
Moscow
A. V. Vlasenko
City Clinical Hospital n.a. S.P. Botkin; Russian Medical Academy for Continuing Professional Education
Russian Federation
Russian Federation
Vlasenko Alexey V., DM Sci (habil.), Centre for Anesthesiology and Resuscitation, head of Dept of Anesthesiology and Resuscitation No. 321, professor, head of
Dept
Moscow
L. A. Penzina
City Clinical Hospital n.a. S.P. Botkin
Russian Federation
Russian Federation
Penzina Lyudmila A., anesthesiologist-resuscitator at Dept of Anesthesiology and Resuscitation No. 34
Moscow
O. L. Smolyaninov
City Clinical Hospital n.a. S.P. Botkin
Russian Federation
Russian Federation
Smolyaninov Oleg L., anesthesiologist-resuscitator at Dept of Anesthesiology and Resuscitation No. 23
Moscow
V. I. Makovey
Russian Medical Academy for Continuing Professional Education
Russian Federation
Russian Federation
Makovey Victoria I., PhD Med, associate professor, head of Educational Unit
Moscow
L. G. Shcherbakova
City Clinical Hospital n.a. S.P. Botkin; Russian Medical Academy for Continuing Professional Education
Russian Federation
Russian Federation
Shcherbakova Lyubov G., clinical resident of Dept of Anesthesiology and
Resuscitation No. 23
Moscow
References
1. Rosique MJF, Rosique RG, Costa IR, Lara BR, Figueiredo JLF, Ribeiro DGB. Parotitis after epidural anesthesia in plastic surgery: report of three cases. Aesthet Plast Surg. (2013) 37: 838–42. 10.1007/s00266–013–0112–6.
2. R. A. Agha, T. Franchi, C. Sohrabi, G. Mathew, for the SCARE Group, The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines, Int. J. Surg. 84 (2020) 226–230.
3. Wanqiang Li, Zhengquan Liao, Ling Yao, Lusheng Zhang, Xuesong Li, Ziqiang Dong. Anesthesia mumps with airway obstruction after radical nephrectomy: A case report and literature review. Front Surg. (2022) 9: 1039362. 10.3389/fsurg.2022.1039362.
4. Ravees Jan, Khalid Mohammed Alshuaibi, Insha Ur Rehman, and Parmod Kumar Bithal. Acute Transient Sialadenitis – ‘Anesthesia Mumps’: Case Report and Review of Literature. Anesth Essays Res. (2020) 14 (2): 352–354. 10.4103/aer. AER 8020.
5. Hamaguchi T, Suzuki N, Kondo I. A case of anesthesia mumps that required postoperative re-intubation. JA Clin Rep. 2018; 4: 22.
6. Cavaliere F, Conti G, Annetta MG, Greco A, Cina A, Proietti R. Massive facial edema and airway obstruction secondary to acute postoperative sialadenitis or ‘anesthesia mumps’: A case report. J Med Case Rep. 2009; 3: 7073.
7. Narang D, Trikha A, Chandralekha C. Anesthesia mumps and morbid obesity. Acta Anaesthesiol Belg. 2010; 61: 83–5.
8. Hans P, Demoitié J, Collignon L, Bex V, Bonhomme V. Acute bilateral submandibular swelling following surgery in prone position. Eur J Anaesthesiol. 2006; 23: 83–4.
9. Asghar A, Karam K, Rashid S. A case of anesthesia mumps after sacral laminectomy under general anesthesia. Saudi J Anaesth. 2015; 9: 332–3.
10. Postaci A, Aytac I, Oztekin CV, Dikmen B. Acute unilateral parotid gland swelling after lateral decubitus position under general anesthesia. Saudi J Anaesth. 2012; 6: 295–7.
11. Kim LJ, Klopfenstein JD, Feiz-Erfan I, Zubay GP, Spetzler RF. Postoperative acute sialadenitis after skull base surgery. Skull Base. 2008; 18: 129–34.
12. Mandel L, Surattanont F. Bilateral parotid swelling: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. (2002) 93: 221–37. 10.1067/moe.2002.121163.
13. Ghatak T, Gurjar M, Samanta S, Baronia AK. A case of ‘anesthesia mumps’ from ICU. Saudi J Anaesth. (2013) 7: 222–3. 10.4103/1658–354X.114067.
14. Anaphylactic shock [Electronic resource]. Rubricator of clinical recommendations. Russian Association of Allergists and Clinical Immunologists, All-Russian public organization ‘Federation of Anesthesiologists and Reanimatologists’. 2020. URL: https://cr.minzdrav.gov.ru/recomend/263
15. Ed. Zabolotskikh IB, Shifman EM. Anesthesiology and resuscitation. Clinical recommendations of the Federation of Anesthesiologists and Resuscitators. M.: GEOTAR-media; 2016. 695–712.
16. Vlasenko A. V., Koryakin A. G., Evdokimov E. A., Eremin D. A. Protection of the patient’s upper respiratory tract in conditions of respiratory support: current state of the issue. Medical alphabet. 2019. Vol. 1. No. 16 (391). Pp. 30–36.
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For citations:
Nazarenko M.B., Makarov O.V., Rodionov E.P., Vlasenko A.V., Penzina L.A., Smolyaninov O.L., Makovey V.I., Shcherbakova L.G. Case of acute postoperative sialoadenitis with airway obstruction after general anesthesia. Medical alphabet. 2023;(25):61-66. (In Russ.) https://doi.org/10.33667/2078-5631-2023-25-61-66
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