Anesthesia Mumps Research Articles

Anesthesia mumps: a case report

A 25 years old pregnant woman had a painful labor in her 38th week of pregnancy. Because of a previous delivery by a cesarean section, she underwent a second cesarean section. Her past medical and family history was unimportant. We performed the surgery under spinal anesthesia. The surgery was uneventful and the baby was in a good health. After 9 hours of surgery, she complained of painless swelling in the parotid glands. Physical examination and laboratories were normal. We started rehydration with normal saline and one dose of hydrocortisone (100 mg IV route). Close monitoring showed no problems in swallowing or any purulent discharge. Two days later, we had a complete resolution of the swelling. We discharged the woman with her child with no complaints. Our case is one of the rare cases of anesthesia mumps after spinal anesthesia. Physicians should be careful in considering such rare cases. Early diagnosis and management is the key.

Anesthesia mumps with airway obstruction after radical nephrectomy: A case report and literature review.

Anesthesia mumps have rarely been reported. This article presents the diagnosis and treatment of a case of anesthesia mumps with airway obstruction in the urology department and reviews previous cases of the disease. A 58-year-old man had a history of hypertension and diabetes, and his blood pressure and glucose levels were well controlled. He underwent laparoscopic radical nephrectomy for a right renal tumor. Postoperatively, a swelling of approximately 5 × 4 cm was observed in the left parotid region and left eyelid, no palpable crepitation was detected, and the skin overlying the left parotid gland was mildly hyperemic and tender. Enhanced computed tomography of the head and neck revealed obvious swelling of the laryngopharyngeal airway, and electronic laryngoscopy showed narrow airway. Laboratory test results including white blood cell count, C-reactive protein, serum amylase, and lipase levels were normal. Glycosylated hemoglobin level was 6.8%, and the salivary culture from Stensen's duct was negative. The patient was managed with endotracheal intubation and a ventilator to maintain breathing along with anti-infection, expectorant, and symptomatic treatment. The swelling in the left parotid gland gradually resolved without recurrence, and the patient was extubated on the 7th postoperative day. In this case, the pathophysiology of anesthesia mumps may have been related to the incorrect positioning of the thick short neck and the use of a head ring, which can result in the squeezing of vessels. In most cases, the salivary gland swelling resolves with observation and symptomatic treatment. In patients with anesthesia mumps, emergency airway management and careful observation are necessary if upper airway obstruction occurs. This case report should increase awareness of anesthesia mumps and its complications among anesthesiologists, surgeons, and postoperative caregivers.

CASE REPORT: POSTOPERATIVE PAROTITIS AND REVIEW OF THE LITERATURE

Anesthesia mumps (mumps), also called postoperative parotitis and characterized by swelling of the salivary glands after general anesthesia. Usually occurs within the first two weeks postoperatively. It is a benign and usually noninfectious complication and usually unilateral. Patients complain of painful swelling. The etiology is unknown. 
 Postoperative parotitis is usually mild is a preventable clinical picture. In order to prevent this complication, it is recommended to prevent compression of the parotid gland or duct by providing an appropriate position. In addition to providing normal neck venous drainage, it is necessary to select anticholinergics with low antisialagogue activity in premedication and to avoid maneuvers that increase intraoral pressure. In this case repot we presented a 52-year-old woman that developed postoperative parotitis after surgery with general anesthesia for senile cataract.

A Case of Bilateral Anesthesia Mumps After General Anesthesia for Tibial Fracture Surgery

Acute transient swelling of the parotid glands during or after surgery under general anesthesia was prescribed by previous colleagues. This complication is called anesthesia mumps. We present a case of bilateral parotid swelling noticed early in the intraoperative period. A 52-year-old male patient was scheduled for internal fixation of right tibial fracture under general anesthesia. The surgical procedure was uneventful and lasted for 2.5 hours. But 30 minutes after the beginning of surgery, swelling of both parotid regions was noted. In the recovery unit, the patient had moderate swelling of both parotids, expanding down to the mandibular angle with no complaint of pain, difficulty in swallowing, and dyspnea. Swelling decreased in size after five days and resolved in seven days. It is important to recognize anesthesia mumps as a rare complication that can appear during surgery or in the early postoperative period.

A case of anesthesia mumps that required postoperative re-intubation

We encountered a 59-year-old man who first underwent left internal carotid endarterectomy for left internal carotid artery stenosis and then presented with postoperative swelling of the bilateral salivary glands. He then developed upper airway obstruction that required emergency tracheal intubation. The most likely cause was thought to be anesthesia mumps, which involves a complex interaction of multiple factors including pneumoparotitis, venous congestion, and excess saliva secretion. Many cases of salivary gland swelling recover after follow-up observation alone if there are no inflammatory findings; however, severe complications may sometimes occur. If upper airway obstruction develops as in the present case, then emergency airway management must also be considered and conscientious observation is necessary.

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

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.

Anesthesia Mumps: An Unusual Presentation

ABSTRACT Anesthesia mumps is an acute transient swelling of parotid gland following general anesthesia. There are several case reports of anesthesia mumps postoperatively in adults, however there are very few reports in children. Increase in secretions along with improper drainage of saliva causes enlargement of parotid gland. This article lists the various causes implicated for this and the methods to prevent its occurrence. The purpose of this article is to highlight the occurrence of anesthesia mumps in pediatric patient even after a short procedure. How to cite this article Gautam R. Anesthesia Mumps: An Unusual Presentation. Res Inno in Anesth 2016;1(2):69-70.

A pediatric case of anesthesia mumps after general anesthesia

Sir/Madam, We would like to report an 8-year-old child with swelling of the right parotid gland after general anesthesia. He weighed 18 kg and underwent adenoidectomy and bilateral tympanostomy tube insertion operation. Preoperatively, he was normal and he also had no other medical problem. Anesthesia induction was performed with 2 mg/kg of propofol, 1 mcg/kg of fentanyl, and 0.5 mg/kg of rocuronium. After endotracheal intubation, maintenance of anesthesia was achieved with sevoflurane (2-3 vol%) in 50% O2 and 50% air. The surgical procedure lasted for 35 min. The patient was extubated without any problems at the end of the surgery. After the extubation period, we noticed a painless swelling on the right parotid gland extending the angle of the mandible [Figures ​[Figures11 and ​and2].2]. There was no sign of inflammation. The right parotid gland swelling disappeared in the next 24 h without any sequelae. Figure 1 Adenoid face of patient and swelling of right parotid gland Figure 2 Swelling of right parotid gland Acute transient swelling of the parotid gland related to anesthesia, defined as “anesthesia mumps,” is a rare complication. It is a benign and noninfectious complication.[1] This usually occurs immediately after surgery and resolves spontaneously over a period of a few hours to a few days without any known sequelae.[2] It was more rarely seen in the pediatric population compared to adults. Although the exact mechanism of anesthesia mumps is not fully explained, different explanations have been suggested including obstruction of Wharton or Stensen ducts from patient positioning and endotracheal tube placement, positive pressure ventilation during and increased pressure in the oral cavity, and thickened oral secretions secondary to salivary stasis.[3] We thought that the clinical picture in our case may have resulted from intraoral pressure increase by mask ventilation or from obstruction of ducts due to head positioning during bilateral tympanostomy tube insertion. Our patient had an adenoid face (a narrow upper dental arch, increased anterior face height, a steep mandibular plane angle, and a retrognathic mandible). Manual ventilation on mask was not comfortable due to poorly fitting mask during the induction. Also, the patient had a relative microgratia. On the other hand, tympanostomy tube insertion was made when the head rotated to the left side and right side. Anesthesia mumps usually resolves spontaneously over a period without any treatment. In some cases, hydration and warm compresses may be helpful in relieving the symptoms.[2,4] In our case, we managed the swelling conservatively by the advice of otolaryngology clinic. The swelling decreased and resolved completely in 24 h. Additionally, there was no radiologic image for this patient. The swelling of the parotid gland resolved gradually and also, the otolaryngologists did not anticipate any other pathology due to signs of swelling. We did not want to perform an x-ray examination of this child patient for benign swelling. In conclusion, anesthesia mumps may occur immediately after general anesthesia in pediatric patients and they fully recover. Also, we hope that the reporting of such pediatric cases would increase the awareness among anesthesiologists regarding this benign complication.

Acute unilateral anesthesia mumps after hysteroscopic surgery under general anesthesia: a case report.

Acute unilateral parotid gland swelling after general anesthesia, anesthesia mumps is rare and when occurred, it is associated with the patient's position and with long-lasting surgery. The exact mechanism or etiology has not been fully established but stasis of gland secretion, blockage of Stensen's duct by direct compression, or retrograde flow of air by increased the oral cavity pressure are suspicious reasons. We experienced a case of soft tissue swelling in the left preauricular and submandibular regions in a 40-year-old female patient after short-lasting, hysteroscopic myomectomy performed in the lithotomy position with no suspicious predisposing factor. It is required to pay attention on the fact that even with the usual face mask ventilation can lead to the development of anesthesia mumps.

Parotitis After Epidural Anesthesia in Plastic Surgery: Report of Three Cases

Acute swelling of the parotid glands after general anesthesia has become known as anesthesia mumps. Its cause is unknown. Only one case of postsurgical parotitis without general anesthesia is reported. This report describes three cases in this setting after plastic surgery. A 37-year-old women underwent breast surgery and abdominoplasty with a dual thoracic/lumbar epidural block (bupivacaine 0.5%). The operative time totaled almost 6h. Subsequently, 4h after surgery, the patient experienced painless bilateral parotid swelling without palpable crepitus. The edema resolved completely within 12h under clinical observation and parenteral hydration. A 45-year-old patient received subglandular breast implants and body contouring with liposuction, all with the patient under a dual thoracic/lumbar epidural block with 0.5% marcaine. The total surgical time was 5h. Subsequently, 3h after surgery, the patient experienced a similar clinical presentation. The problem resolved completely in 36h with clinical observation and parenteral hydration. CASE 3: A 30-year-old patient received a subglandular breast implant and underwent liposuction of the outer thighs using a dual thoracic/lumbar epidural block with lidocaine 1%. The duration of surgery was 1h. Subsequently, 5h postoperatively, the patient experienced a similar clinical presentation. Dexamethasone and parenteral hydration were administered. The problem resolved completely in 48h without sequelae. The occurrence of parotitis in patients undergoing surgery under epidural anesthesia is a novel situation, which increases the range of possible etiologies for this little known condition. Dehydration leading to transient parotid secretion obstruction may play a significant role. Further reports of parotitis occurring in the regional anesthesia setting are expected to help elucidate its pathophysiology. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

A case of ′′anesthesia mumps′′ from ICU

A case of ′′anesthesia mumps′′ from ICU

Is it fluid or air causing anesthesia mumps?

Is it fluid or air causing anesthesia mumps?

Imaging Findings of “Anesthesia Mumps” (Acute Postoperative Sialadenitis) After General Anesthesia

We present a rare case of acute postoperative sialadenitis or "anesthesia mumps" necessitating emergent intubation in a 16-year-old girl after biopsy of a brainstem mass under general anesthesia. Postoperative computed tomography of the brain demonstrated extensive right-sided facial swelling, parotid gland enlargement, and pharyngeal edema extending to the parapharyngeal space, soft palate, and uvula with significant narrowing of the airway. To our knowledge, this entity has not been previously described in the radiologic literature.

Acute unilateral parotid gland swelling after lateral decubitus position under general anesthesia

Acute swelling of the parotid gland after general anesthesia (commonly known as anesthesia mumps or acute postoperative sialadenitis) is a rare but declared complication of anesthesia. The etiology is not clear, but some possible causes such as obstruction of glandular excretory ducts caused by patient position and increase in the viscosity of the saliva because of acute dehydratation and/or medications like atropin have been proposed. We report a swelling in the left preauricular and postauricular region extending to the angle of the mandibule in a 35-year-old patient after left lateral decubitus position for laparoscopic nephrectomy.

A case of anesthesia mumps after general anesthesia

A case of anesthesia mumps after general anesthesia

Anesthesia Mumps after The Cesarean Section in Pregnant Woman

Anesthesia mumps is characterized by acute transient swelling of the parotid gland association with general anesthesia. We presented a 25 years old pregnant woman with anesthesia mumps after 24 hours Cesarean section, and discussed treatment of anesthesia mumps and differential diagnosis. 25 years old woman underwent to operation for Cesarean section. Her Medical history had no chronic disease, and no allergies. Her mental and psychological status, neurological, other systematical examination findings and laboratory values were normal. General anesthesia was administered. Twenty four hours after the extubation, a large swelling of right more than left parotid region expanding down to the mandibular angle was noted. In conclusion we suggest that especialy obstetrical cases should be performed gently intubation and extubation and used medications should be attention. In additioal, anesthesia mumps of patients may fully recover within a few days without any treatment or with treatment.

"Anesthesia Mumps" After Electroconvulsive Therapy Anesthesia

Acute transient swelling of the parotid gland in association with anesthesia is known as "anesthesia mumps." We report an acute bilateral parotid swelling in a patient after electroconvulsive therapy anesthesia.

Acute unilateral enlargement of the parotid gland immediately post craniotomy in a pediatric patient: a case report

A temporary acute unilateral enlargement of the parotid gland or "anesthesia mumps" has been described in both surgical and anesthesia literature. It has been described in elderly, dehydrated, poorly nourished, and post-operative patients. We present a 5-year-old patient who underwent a left temporal craniotomy for seizure focus resection and quadriceps muscle biopsy. Immediately post procedure, he was noted to have an acute unilateral enlargement of the right parotid gland. We report acute unilateral parotitis as a possible, but uncommon, complication of positioning in the pediatric population and to discuss possible pathophysiology and prevention, as well as a review of the available literature.

Massive facial edema and airway obstruction secondary to acute postoperative sialadenitis or "anesthesia mumps": a case report

IntroductionA case of massive facial edema and airway obstruction secondary to an acute sialadenitis is described that occurred a few hours after a neurosurgical procedure performed in the prone position. Literature on this topic is reviewed.Case presentationA 73-year-old Caucasian woman underwent a right parieto-occipital craniotomy to remove a meningioma. The procedure was performed in the prone position and lasted for 7 hours. One hour after the end of surgery, left submandibular gland swelling was clearly visible and in a few hours, she developed massive facial edema. Imaging (computed tomography and magnetic resonance) showed inflammatory swelling of the submandibular and parotid glands and of the periglandular tissues, undilated excretory ducts, and complete obliteration of the pharynx lumen (pharyngeal mucosa adhered to the endotracheal tube). Analgesics, corticosteroids, and antibiotics were administered. Edema regressed from the 4th postoperative day and the endotracheal tube could be removed on the 7th postoperative day. The patient was discharged from the surgical intensive care unit on the 14th postoperative day and from hospital on the 28th postoperative day.ConclusionThis is the first case report in which acute postoperative sialadenitis caused complete upper airway obstruction: only the presence of a tracheal tube avoided the need for an emergency tracheostomy. Since edema evolves insidiously, we recommend caution when removing the endotracheal tube in patients who are acutely developing postoperative sialadenitis.

A case of anesthesia mumps after general anesthesia

A case of anesthesia mumps after general anesthesia