Pneumoparotitis as a complication of long‐term oronasal positive airway pressure for sleep apnea

Andrew J Goates; Daniel J Lee; Joan E Maley; Phillip C Lee; Henry T Hoffman

doi:10.1002/hed.25003

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Pneumoparotitis as a complication of long‐term oronasal positive airway pressure for sleep apnea

Journal article

Peer reviewed

Pneumoparotitis as a complication of long‐term oronasal positive airway pressure for sleep apnea

Andrew J Goates, Daniel J Lee, Joan E Maley, Phillip C Lee and Henry T Hoffman

Head & neck, Vol.40(1), pp.E5-E8

01/2018

DOI: 10.1002/hed.25003

PMID: 29149468

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Abstract

Background 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. Methods We present 2 cases of pneumoparotitis in patients on long‐term oronasal continuous positive airway pressure (CPAP) for obstructive sleep apnea. Results 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. Conclusion Long‐term use of oronasal CPAP is a potential cause of pneumoparotitis.

primary Sjögren syndrome

obstructive sleep apnea syndrome

salivary glands

parotitis

oronasal continuous positive airway pressure (CPAP)

pneumoparotitis

Details

Title: Subtitle: Pneumoparotitis as a complication of long‐term oronasal positive airway pressure for sleep apnea
Creators: Andrew J Goates - University of Iowa Carver College of Medicine, Department of Otolaryngology ‐ Head and Neck Surgery
Daniel J Lee - University of Iowa Carver College of Medicine, Department of Otolaryngology ‐ Head and Neck Surgery
Joan E Maley - University of Iowa Carver College of Medicine, Department of Radiology
Phillip C Lee - Mason City Clinic
Henry T Hoffman - University of Iowa Carver College of Medicine, Department of Otolaryngology ‐ Head and Neck Surgery
Resource Type: Journal article
Publication Details: Head & neck, Vol.40(1), pp.E5-E8
DOI: 10.1002/hed.25003
PMID: 29149468
ISSN: 1043-3074
eISSN: 1097-0347
Number of pages: 4
Language: English
Date published: 01/2018
Academic Unit: Radiology; Radiation Oncology; Otolaryngology
Record Identifier: 9984051765902771

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