| Title |
Pneumoparotitis as a complication of long‐term oronasal positive airway pressure for sleep apnea
|
|---|---|
| Published in |
Head & Neck, November 2017
|
| DOI | 10.1002/hed.25003 |
| Pubmed ID | |
| Authors |
Andrew J. Goates, Daniel J. Lee, Joan E. Maley, Phillip C. Lee, Henry T. Hoffman |
| Abstract |
Parotid swelling is rarely caused by pneumoparotitis from retrograde insufflation of air into Stensen's duct. Previous reports have identified occupational exposures, self-induced habits, exercise, spirometry, and short-term positive pressure airway ventilation as causes of salivary duct insufflation. We present 2 cases of pneumoparotitis in patients on long-term oronasal continuous positive airway pressure (CPAP) for obstructive sleep apnea. A diagnosis of pneumoparotitis was made by CT scan in case 1 and sialography in case 2. Patients were advised to transition from oronasal to nasal-only CPAP. One patient was successfully transferred and had good symptomatic improvement, whereas the second patient did not tolerate nasal CPAP and had persistent symptoms on oronasal CPAP. Long-term use of oronasal CPAP is a potential cause of pneumoparotitis. |
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|---|---|---|
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Demographic breakdown
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|---|---|---|
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Mendeley demographics
Geographical breakdown
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|---|---|---|
| Unknown | 40 | 100% |
Demographic breakdown
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|---|---|---|
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| Other | 2 | 5% |
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| Sports and Recreations | 2 | 5% |
| Veterinary Science and Veterinary Medicine | 1 | 3% |
| Biochemistry, Genetics and Molecular Biology | 1 | 3% |
| Other | 2 | 5% |
| Unknown | 13 | 33% |