ABSTRACT
Childhood parotid swelling has a number of differential diagnosis mostly of inflammatory origin. Pneumoparotitis is an uncommon cause of parotid inflammation. It is caused by an excessive increase of intraoral pressure and secondary passage of air into the Stensen or Stenon duct and its glandular branches. Diagnostic clues can usually be obtained by a directed anamnesis. Ultrasonography (US) and computed tomography are essential diagnostic tools for this condition that has a benign course with spontaneous resolution in most cases. We present four cases of pneumoparotitis diagnosed by US in children 5 to 13 years of age. One of the cases occurred after the child chewed gum and made bubbles for a prolonged timeperiod and the other three after inflating baloons, making bubbles inside a pool and after playing the flute. All cases resolved spontaneously after two days. We suggest to consider pneumoparotitis in the differential diagnosis of parotid swellig in children.
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Male , Emphysema/diagnosis , Parotid Diseases/diagnosis , Diagnosis, Differential , Emphysema/etiology , Emphysema/physiopathology , Parotid Diseases/etiology , Parotid Diseases/physiopathology , Remission, SpontaneousABSTRACT
A tuberculose primária em glândulas salivares é uma patologia incomum, com poucos relatos descritos na literatura mundial. Um diagnóstico pós-operatório de tuberculose, acometendo a glândula parótida, nos levou a uma revisão da literatura e ao relato do caso, na intenção de alertar e ilustrar este diagnóstico diferencial raro na avaliação de nódulos da região parotídea
Subject(s)
Humans , Parotid Gland/pathology , Salivary Glands/pathology , Mycobacterium tuberculosis , Tuberculosis , Parotid Diseases/etiology , Parotid Diseases/physiopathologyABSTRACT
A experiência do Hospital do Câncer com tumores benignos da glândula parótida tratados cirurgicamente num período de 25 anos, totalizando 222 pacientes, foi submetida a estudo retrospectivo, avaliando-se dados demográficos, clínicos e histológicos, além dos resultados do tratamento empregado. Houve predominância do sexo feminino, com 126 casos (56,7%), sendo o maior número observado entre os 31 e 50 anos de idade, na faixa etária de 1 a 80 anos. O adenoma pleomórfico predominou, com 165 casos (74,3%), seguido pelo tumor de Warthin, com 38 casos (17,1%). A principal modalidade cirúrgica utilizada foi a parotidectomia parcial com conservação do nervo facial, realizada em 182 casos. A taxa de recidiva local foi de 4,8%, sendo todos esses casos de adenoma pleomórfico. A disfunção do nervo facial no pós-operatório, a síndrome de Frey, a presença de seroma, de necrose e infecção foram observadas em 25,2%, 7,2%, 2,2% e 1,3%, respectivamente. A radioterapia foi empregada como tratamento complementar em 12 casos. Doze pacientes apresentaram segundas neoplasias durante o período de seguimento, que variou de 16 dias a 234 meses. Na instituição, consideramos atualmente que a cirurgia mínima para o tratamento dos tumores benignos da parótida é a parotidectomia parcial com conservação do nervo facial; e, sempre que o nervo é sacrificado, procedimentos de reanimação facial são realizados. O uso da radioterapia deve ser reservado ao pós-operatório de cirurgias de resgate, em casos de recidiva local.
A 25-year experience of the Hospital do Cancer with benign parotid tumours surgically treated in a consecutive series of 222 patients has been reviewed, evaluating demographic, clinic and histopathological data as well as results of treatment. The female gender predominated with 126 cases (56,7%). Age ranged from 1 to 80 years old with the highest incidence from 31 to 50 years old (42 patients). Pleomorphic adenoma was the predominant histopathological type observed in 165 (74,3N) cases, followed by Warthin's tumor with 38 (17,1%) cases. Partial parotidectomy with facial nerve preservation was the main and minimal procedure performed. Local recurrences ocurred in 4,8% of the pleomorfic adenomas. Postoperative facial disfunction, Frey's syndrome, seroma, necrosis and infection were observed irk 25,2%, 7,2%, 2,2% and 1,3%, respectively. Radiotherapy was used as postoperative adjuvant treatment in 12 cases. Twelve patients presented other neoplasms during the follow-up period which ranged from 16 days to 234 months. We consider that partial parotidectomy with facial nerve preservation is the minimal surgical procedure to treat benign parotid tumors and facial reanimation must be tried whenever the facial nerve is sacrificed. Radiotherapy must be reserved to- postoperative period after salvage surgery for local recurrences.