A Case of Bilateral Pneumoparotitis in the Children / 대한이비인후과학회지

ABSTRACT

There are multiple causes of acute parotid swelling, including tumors, viral and bacterial infections, enlargement accompanying connective tissue and obstruction to salivary flow. A rare but well-documented cause of parotid swelling is pneumoparotitis. This is a condition in which there is insufflation of air into the acini of the parotid gland via Stensen's duct. The air may rupture through the parotid capsule, spread into the subcutaneous tissues of the face and neck, and even cause pneumomediastinum. We present a case of pneumoparotitis caused by flute playing. The clinical presentation, proposed pathophysiology, diagnosis and management of this rare condition are presented and discussed.