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VOLUME 14 , ISSUE 3 ( September-December, 2022 ) > List of Articles

CASE REPORT

Pneumoparotid and Subcutaneous Emphysema in a Man with Psychiatric Disorders

Cosimo Galletti, Francesco Ciodaro, Francesco Freni, Galletti Bruno

Keywords : Computed tomography scan, Head and neck region, Parotid gland, Parotid swellings, Parotitis, Salivary gland

Citation Information : Galletti C, Ciodaro F, Freni F, Bruno G. Pneumoparotid and Subcutaneous Emphysema in a Man with Psychiatric Disorders. Int J Otorhinolaryngol Clin 2022; 14 (3):110-113.

DOI: 10.5005/jp-journals-10003-1411

License: CC BY-NC 4.0

Published Online: 20-03-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Pneumoparotid is an uncommon clinical presentation of parotid swelling. An incompetent Stensen's duct may cause pneumoparotid. Infectious complications and subcutaneous emphysema are mentioned in the literature. We present a 45-year-old man with numerous episodes of distressing distension of the left parotid region. Bedside inspection is carried out and fluctuant left-sided sore parotid enlargement with crepitation at the palpation is noted. A head–neck computed tomography (CT) study with oral medium contrast is performed marking heavy emphysema of subcutaneous layer that is extension gone from temporal region to the upper thoracic outlet, also is noted an important ectasia of Stensen's duct, salivary glands, and left parotid. Medical treatment with antibiotic therapy and support measures are administrated with a complete resolution of subcutaneous emphysema. Pneumoparotid could be correlated with auto-insufflation behavior common in psychiatric conditions and some professions, it is essential besides medical treatment, a psychosocial follow-up in addition.

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