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Bilateral Anesthesia Mumps After Robot-Assisted Hysterectomy Under General Anesthesia: Two Case Reports

Received: 19 February 2018    Accepted: 8 March 2018    Published: 28 March 2018
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Abstract

Acute post-operative parotid gland swelling or “anesthesia mumps” is a rare complication that occurs after general or regional anesthesia. While the exact mechanism underlying this condition is not fully understood, mechanical obstruction of Stensen’s duct due to incorrect head positioning, peri-operative medication, dehydration, and retrograde passage of air into the parotid gland have all been implicated in post-operative parotid swelling. Here we present two cases of parotid swelling after robot-assisted hysterectomy, both of which are thought to have been caused by compression due to shoulder braces. Careful attention to the head and neck position is required to avoid mechanical obstruction of the parotid duct, and by extension, parotid gland swelling.

Published in Journal of Surgery (Volume 6, Issue 2)
DOI 10.11648/j.js.20180602.14
Page(s) 50-52
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anesthesia Mumps, Robot-Assisted Hysterectomy, Trendelenburg Position, Parotitis

References
[1] Rowell J, Lynn AM, Filardi TZ, et al. Acute unilateral enlargement of the parotid gland immediately post craniotomy in a pediatric patient: a case report. Child Nerv Syst 2010; 26: 1239-42.
[2] Mandel L, Surattanout F. Bilateral parotid swelling: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 93: 221-37.
[3] Liu FC, Liou JT, Li AH, et al. Acute unilateral parotid glands enlargement following endotracheal general anesthesia: report of two cases. Chang Gung Med J 2007; 30: 453-7.
[4] Attas M, Sabawala PB, Keats AS. Acute transient sialadenopathy during induction of anesthesia. Anesthesiology 1968; 29: 1050-2.
[5] Cozzaglio L, Pizzocaro A, Cancellieri F. Anesthesia mumps after thyroidectomy. J Endocrinol Invest 2017; 40: 335-336.
[6] Kumar KP, Kumar PK, Jagadesh G. Acute sialadenitis of parotid gland: Anaesthesia mumps. Indian J Anaesth 2014; 58: 97-8.
[7] Tekelioglu UY, Akkaya A, Apuhan T, et al. A case of anesthesia mumps after general anesthesia. J Anesth 2012; 26: 130-1.
[8] Kwon SY, Kang YJ, Seo KH, et al. Acute unilateral anesthesia mumps after hysteroscpic surgery under general anesthesia: a case report. Korean J Anesthesiol 2015; 68: 300-3.
[9] Cavaliere F, Conti G, Annetta MG, et al. Massive facial edema and airway obstruction secondary to acute postoperative sialadenitis or “anesthesia mumps”: a case report. J Med Case Rep 2009 A; 3: 7073.
[10] Serin S, Kaya S, Kara CO, et al. A case of anesthesia mumps. Anesth Analg 2007; 104: 1005.
[11] Postaci A, Aytac I, Oztekin CV, et al. Acute unilateral parotid gland swelling after lateral decubitus position under general anesthesia. Saudi J Anaesth 2012; 6: 295-7.
[12] Kim LJ, Klophenstein JD, Feiz-Erfan I, et al. Postoperative acute sialadenitis after skull base surgery. Skull Base 2008; 18: 129-34.
[13] Berker M, Sahin A, Aypar U, et al. Acute parotitis following sitting position neurosurgical procedures: review of five cases. J Neurosurg Anesthesiol 2004; 16: 29-31.
[14] Pirat A, Camkiran A, Balci ST, et al. Bilateral submandibular salivary gland swelling following regional anesthesia for hip replacement. Acta Anaesthesiol Scand 2009; 53: 272.
[15] Quinn ME, Quinn TD, Mian AZ, et al. Imaging findings of “anesthesia mumps” (acute postoperative sialadenitis) after general anesthesia. J Comput Assist Tomogr 2012; 36: 745-8.
Cite This Article
  • APA Style

    Jung Min Lee, Eun Young Park, Kyung Mi Kim, Jong Chan Won, You Jung Kim, et al. (2018). Bilateral Anesthesia Mumps After Robot-Assisted Hysterectomy Under General Anesthesia: Two Case Reports. Journal of Surgery, 6(2), 50-52. https://doi.org/10.11648/j.js.20180602.14

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    ACS Style

    Jung Min Lee; Eun Young Park; Kyung Mi Kim; Jong Chan Won; You Jung Kim, et al. Bilateral Anesthesia Mumps After Robot-Assisted Hysterectomy Under General Anesthesia: Two Case Reports. J. Surg. 2018, 6(2), 50-52. doi: 10.11648/j.js.20180602.14

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    AMA Style

    Jung Min Lee, Eun Young Park, Kyung Mi Kim, Jong Chan Won, You Jung Kim, et al. Bilateral Anesthesia Mumps After Robot-Assisted Hysterectomy Under General Anesthesia: Two Case Reports. J Surg. 2018;6(2):50-52. doi: 10.11648/j.js.20180602.14

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  • @article{10.11648/j.js.20180602.14,
      author = {Jung Min Lee and Eun Young Park and Kyung Mi Kim and Jong Chan Won and You Jung Kim and Soo Kyung Lee},
      title = {Bilateral Anesthesia Mumps After Robot-Assisted Hysterectomy Under General Anesthesia: Two Case Reports},
      journal = {Journal of Surgery},
      volume = {6},
      number = {2},
      pages = {50-52},
      doi = {10.11648/j.js.20180602.14},
      url = {https://doi.org/10.11648/j.js.20180602.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180602.14},
      abstract = {Acute post-operative parotid gland swelling or “anesthesia mumps” is a rare complication that occurs after general or regional anesthesia. While the exact mechanism underlying this condition is not fully understood, mechanical obstruction of Stensen’s duct due to incorrect head positioning, peri-operative medication, dehydration, and retrograde passage of air into the parotid gland have all been implicated in post-operative parotid swelling. Here we present two cases of parotid swelling after robot-assisted hysterectomy, both of which are thought to have been caused by compression due to shoulder braces. Careful attention to the head and neck position is required to avoid mechanical obstruction of the parotid duct, and by extension, parotid gland swelling.},
     year = {2018}
    }
    

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    AU  - Jung Min Lee
    AU  - Eun Young Park
    AU  - Kyung Mi Kim
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    AU  - You Jung Kim
    AU  - Soo Kyung Lee
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    DO  - 10.11648/j.js.20180602.14
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    JF  - Journal of Surgery
    JO  - Journal of Surgery
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    AB  - Acute post-operative parotid gland swelling or “anesthesia mumps” is a rare complication that occurs after general or regional anesthesia. While the exact mechanism underlying this condition is not fully understood, mechanical obstruction of Stensen’s duct due to incorrect head positioning, peri-operative medication, dehydration, and retrograde passage of air into the parotid gland have all been implicated in post-operative parotid swelling. Here we present two cases of parotid swelling after robot-assisted hysterectomy, both of which are thought to have been caused by compression due to shoulder braces. Careful attention to the head and neck position is required to avoid mechanical obstruction of the parotid duct, and by extension, parotid gland swelling.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Department of Anesthesiology and Pain Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Republic of Korea

  • Department of Anesthesiology and Pain Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Republic of Korea

  • Department of Anesthesiology and Pain Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Republic of Korea

  • Department of Anesthesiology and Pain Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Republic of Korea

  • Department of Anesthesiology and Pain Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Republic of Korea

  • Department of Anesthesiology and Pain Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Republic of Korea

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