Sialadenitis following blepharoplasty: An unusual sequelae
Identifieur interne : 002664 ( Pmc/Corpus ); précédent : 002663; suivant : 002665Sialadenitis following blepharoplasty: An unusual sequelae
Auteurs : Harsha S. Reddy ; Phillip A. Tenzel ; Akshay Gopinathan NairSource :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2017.
Url:
DOI: 10.4103/ijo.IJO_79_17
PubMed: 28513497
PubMed Central: 5452585
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Sialadenitis following blepharoplasty: An unusual sequelae</title><author><name sortKey="Reddy, Harsha S" sort="Reddy, Harsha S" uniqKey="Reddy H" first="Harsha S" last="Reddy">Harsha S. Reddy</name><affiliation><nlm:aff id="aff1">Department of Ophthalmic Plastic Surgery, New York Eye and Ear Infirmary, New York, NY, USA</nlm:aff></affiliation></author><author><name sortKey="Tenzel, Phillip A" sort="Tenzel, Phillip A" uniqKey="Tenzel P" first="Phillip A" last="Tenzel">Phillip A. Tenzel</name><affiliation><nlm:aff id="aff1">Department of Ophthalmic Plastic Surgery, New York Eye and Ear Infirmary, New York, NY, USA</nlm:aff></affiliation></author><author><name sortKey="Nair, Akshay Gopinathan" sort="Nair, Akshay Gopinathan" uniqKey="Nair A" first="Akshay Gopinathan" last="Nair">Akshay Gopinathan Nair</name><affiliation><nlm:aff id="aff2">Ophthalmic Plastic Surgery and Ocular Oncology Services, Advanced Eye Hospital and Institute, Navi Mumbai, India</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28513497</idno><idno type="pmc">5452585</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5452585</idno><idno type="RBID">PMC:5452585</idno><idno type="doi">10.4103/ijo.IJO_79_17</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002664</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002664</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Sialadenitis following blepharoplasty: An unusual sequelae</title><author><name sortKey="Reddy, Harsha S" sort="Reddy, Harsha S" uniqKey="Reddy H" first="Harsha S" last="Reddy">Harsha S. Reddy</name><affiliation><nlm:aff id="aff1">Department of Ophthalmic Plastic Surgery, New York Eye and Ear Infirmary, New York, NY, USA</nlm:aff></affiliation></author><author><name sortKey="Tenzel, Phillip A" sort="Tenzel, Phillip A" uniqKey="Tenzel P" first="Phillip A" last="Tenzel">Phillip A. Tenzel</name><affiliation><nlm:aff id="aff1">Department of Ophthalmic Plastic Surgery, New York Eye and Ear Infirmary, New York, NY, USA</nlm:aff></affiliation></author><author><name sortKey="Nair, Akshay Gopinathan" sort="Nair, Akshay Gopinathan" uniqKey="Nair A" first="Akshay Gopinathan" last="Nair">Akshay Gopinathan Nair</name><affiliation><nlm:aff id="aff2">Ophthalmic Plastic Surgery and Ocular Oncology Services, Advanced Eye Hospital and Institute, Navi Mumbai, India</nlm:aff></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kim, Lj" uniqKey="Kim L">LJ Kim</name></author><author><name sortKey="Klopfenstein, Jd" uniqKey="Klopfenstein J">JD Klopfenstein</name></author><author><name sortKey="Feiz Erfan, I" uniqKey="Feiz Erfan I">I Feiz-Erfan</name></author><author><name sortKey="Zubay, Gp" uniqKey="Zubay G">GP Zubay</name></author><author><name sortKey="Spetzler, Rf" uniqKey="Spetzler R">RF Spetzler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lampropoulos, P" uniqKey="Lampropoulos P">P Lampropoulos</name></author><author><name sortKey="Rizos, S" uniqKey="Rizos S">S Rizos</name></author><author><name sortKey="Marinis, A" uniqKey="Marinis A">A Marinis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rowell, J" uniqKey="Rowell J">J Rowell</name></author><author><name sortKey="Lynn, Am" uniqKey="Lynn A">AM Lynn</name></author><author><name sortKey="Filardi, Tz" uniqKey="Filardi T">TZ Filardi</name></author><author><name sortKey="Celix, J" uniqKey="Celix J">J Celix</name></author><author><name sortKey="Ojemann, Jg" uniqKey="Ojemann J">JG Ojemann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matsuki, A" uniqKey="Matsuki A">A Matsuki</name></author><author><name sortKey="Wakayama, S" uniqKey="Wakayama S">S Wakayama</name></author><author><name sortKey="Oyama, T" uniqKey="Oyama T">T Oyama</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singha, Sk" uniqKey="Singha S">SK Singha</name></author><author><name sortKey="Chatterjee, N" uniqKey="Chatterjee N">N Chatterjee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Asghar, A" uniqKey="Asghar A">A Asghar</name></author><author><name sortKey="Karam, K" uniqKey="Karam K">K Karam</name></author><author><name sortKey="Rashid, S" uniqKey="Rashid S">S Rashid</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="other"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Ophthalmol</journal-id><journal-id journal-id-type="iso-abbrev">Indian J Ophthalmol</journal-id><journal-id journal-id-type="publisher-id">IJO</journal-id><journal-title-group><journal-title>Indian Journal of Ophthalmology</journal-title></journal-title-group><issn pub-type="ppub">0301-4738</issn><issn pub-type="epub">1998-3689</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28513497</article-id><article-id pub-id-type="pmc">5452585</article-id><article-id pub-id-type="publisher-id">IJO-65-316</article-id><article-id pub-id-type="doi">10.4103/ijo.IJO_79_17</article-id><article-categories><subj-group subj-group-type="heading"><subject>Photo Essay</subject></subj-group></article-categories><title-group><article-title>Sialadenitis following blepharoplasty: An unusual sequelae</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Reddy</surname><given-names>Harsha S</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Tenzel</surname><given-names>Phillip A</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Nair</surname><given-names>Akshay Gopinathan</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib></contrib-group><aff id="aff1">Department of Ophthalmic Plastic Surgery, New York Eye and Ear Infirmary, New York, NY, USA</aff><aff id="aff2"><label>1</label>Ophthalmic Plastic Surgery and Ocular Oncology Services, Advanced Eye Hospital and Institute, Navi Mumbai, India</aff><author-notes><corresp id="cor1"><bold>Correspondence to:</bold> Dr. Harsha S Reddy, Department of Ophthalmic Plastic Surgery, New York Eye and Ear Infirmary, 310 E 14<sup>th</sup> Street, New York, NY 10003, USA. E-mail: <email xlink:href="hsreddy01@gmail.com">hsreddy01@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>4</month><year>2017</year></pub-date><volume>65</volume><issue>4</issue><fpage>316</fpage><lpage>317</lpage><history><date date-type="received"><day>30</day><month>1</month><year>2017</year></date><date date-type="accepted"><day>25</day><month>3</month><year>2017</year></date></history><permissions><copyright-statement>Copyright: © 2017 Indian Journal of Ophthalmology</copyright-statement><copyright-year>2017</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.</license-p></license></permissions><kwd-group><title>Key words</title><kwd>Anesthesia</kwd><kwd>blepharoplasty</kwd><kwd>parotid</kwd><kwd>sialadenitis</kwd><kwd>sialolithiasis</kwd><kwd>swelling</kwd></kwd-group></article-meta></front><body><p>A 64-year-old female underwent an uneventful bilateral upper and lower lid blepharoplasty under local anesthesia with sedation. Postoperatively, painless right lower facial swelling [<xref ref-type="fig" rid="F1">Fig. 1a</xref>] was noted. Visual acuity, intraocular pressures, and ocular motility were normal. Ocular examination showed no unexpected findings. The evaluation revealed induration and tenderness of the body and tail of the parotid gland, and a clinical diagnosis of sialadenitis was made. Warm compresses, oral amoxicillin/clavulanic acid, and anti-inflammatory medication helped in resolution of the condition over the next 1 week. Her subsequent recovery was uneventful.</p><fig id="F1" position="float"><label>Figure 1</label><caption><p>(a) Postoperative external photography showing parotid swelling. (b) The resolution of the swelling can be appreciated after 1 week of conservative treatment</p></caption><graphic xlink:href="IJO-65-316-g001"></graphic></fig><p>Sialadenitis is a relatively common condition and can occur after any surgical procedure and should be distinguished from lymphedema or cellulitis. Our patient did not have any underlying systemic illness that could predispose to sialadenitis such as Sjögren's syndrome, diabetes, or HIV infection. Anesthesia and surgery themselves are known risk factors for salivary stasis.[<xref rid="ref1" ref-type="bibr">1</xref>] We hypothesize that in addition to these factors, the immobilization during the surgery, followed by postoperative low fluid intake, and the subsequent relative dehydration were the contributing factors that led to salivary stasis that precipitated sialadenitis. As was the case with our patient [<xref ref-type="fig" rid="F1">Fig. 1b</xref>], symptoms generally resolve with antibiotics, warm compresses, and lemon juice intake that stimulate increase in the flow of saliva from the glands. Imaging to rule out abscess should be considered if conservative management fails.</p><p>Acute unilateral enlargement of the parotid gland or “anesthesia mumps” is an entity described in both surgical and anesthesia literature. This condition has been described previously in the elderly, dehydrated, poorly nourished, and postoperative patients.[<xref rid="ref2" ref-type="bibr">2</xref><xref rid="ref3" ref-type="bibr">3</xref>] This condition has been commonly reported after endotracheal general anesthesia. Matsuki <italic>et al</italic>. reported that transient swelling of the parotid glands following general anesthesia could be attributed to inadequate anesthesia during intubation, overactive pharyngeal reflex stimulation of the salivary gland through the parasympathetic nerves, and succinylcholine-stimulated copious secretions.[<xref rid="ref4" ref-type="bibr">4</xref>] In the pediatric age group, postoperative sialadenitis is seen following cranial surgeries, especially skull base surgeries that require extreme head positioning for long hours.[<xref rid="ref5" ref-type="bibr">5</xref>] Perioperative use of medications with anticholinergic effects can also predispose patients to salivary stasis. By inducing diuresis or through the anticholinergic process, many drugs such as antihistamines, phenothiazines, β-blockers, barbiturates, and diuretics can contribute to systemic dehydration, which increases the risk of salivary stasis.[<xref rid="ref1" ref-type="bibr">1</xref>] Other predisposing conditions include unusual head and neck positioning, straining and coughing during anesthesia, vascular congestion and venous engorgement of head and neck.[<xref rid="ref6" ref-type="bibr">6</xref>]</p><p>In summary, anesthesia-related inflammatory sialadenitis is rare sequelae that may follow surgery in the elderly. Clinicians should be aware of this condition to ensure prompt referral and treatment to avoid long-term complications.</p><sec disp-level="2" id="sec2-1"><title>Financial support and sponsorship</title><p>Nil.</p></sec><sec disp-level="2" id="sec2-2" sec-type="COI-statement"><title>Conflicts of interest</title><p>There are no conflicts of interest.</p></sec></body><back><ref-list><title>References</title><ref id="ref1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>LJ</given-names></name><name><surname>Klopfenstein</surname><given-names>JD</given-names></name><name><surname>Feiz-Erfan</surname><given-names>I</given-names></name><name><surname>Zubay</surname><given-names>GP</given-names></name><name><surname>Spetzler</surname><given-names>RF</given-names></name></person-group><article-title>Postoperative acute sialadenitis after skull base surgery</article-title><source>Skull Base</source><year>2008</year><volume>18</volume><fpage>129</fpage><lpage>34</lpage><pub-id pub-id-type="pmid">18769650</pub-id></element-citation></ref><ref id="ref2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lampropoulos</surname><given-names>P</given-names></name><name><surname>Rizos</surname><given-names>S</given-names></name><name><surname>Marinis</surname><given-names>A</given-names></name></person-group><article-title>Acute suppurative parotitis: A dreadful complication in elderly surgical patients</article-title><source>Surg Infect (Larchmt)</source><year>2012</year><volume>13</volume><fpage>266</fpage><lpage>9</lpage><pub-id pub-id-type="pmid">22913804</pub-id></element-citation></ref><ref id="ref3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rowell</surname><given-names>J</given-names></name><name><surname>Lynn</surname><given-names>AM</given-names></name><name><surname>Filardi</surname><given-names>TZ</given-names></name><name><surname>Celix</surname><given-names>J</given-names></name><name><surname>Ojemann</surname><given-names>JG</given-names></name></person-group><article-title>Acute unilateral enlargement of the parotid gland immediately post craniotomy in a pediatric patient: A case report</article-title><source>Childs Nerv Syst</source><year>2010</year><volume>26</volume><fpage>1239</fpage><lpage>42</lpage><pub-id pub-id-type="pmid">20512498</pub-id></element-citation></ref><ref id="ref4"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Matsuki</surname><given-names>A</given-names></name><name><surname>Wakayama</surname><given-names>S</given-names></name><name><surname>Oyama</surname><given-names>T</given-names></name></person-group><article-title>Acute transient swelling of the salivary glands during and following endotracheal anaesthesia</article-title><source>Anaesthesist</source><year>1975</year><volume>24</volume><fpage>125</fpage><lpage>8</lpage><pub-id pub-id-type="pmid">1147203</pub-id></element-citation></ref><ref id="ref5"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Singha</surname><given-names>SK</given-names></name><name><surname>Chatterjee</surname><given-names>N</given-names></name></person-group><article-title>Postoperative sialadenitis following retromastoid suboccipital craniectomy for posterior fossa tumor</article-title><source>J Anesth</source><year>2009</year><volume>23</volume><fpage>591</fpage><lpage>3</lpage><pub-id pub-id-type="pmid">19921373</pub-id></element-citation></ref><ref id="ref6"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Asghar</surname><given-names>A</given-names></name><name><surname>Karam</surname><given-names>K</given-names></name><name><surname>Rashid</surname><given-names>S</given-names></name></person-group><article-title>A case of anesthesia mumps after sacral laminectomy under general anesthesia</article-title><source>Saudi J Anaesth</source><year>2015</year><volume>9</volume><fpage>332</fpage><lpage>3</lpage><pub-id pub-id-type="pmid">26240559</pub-id></element-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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