Publication: Postoperative Acute Submandibular Sialadenitis: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Acute postoperative sialadenitis is a rare complication usually after surgery involving extreme head and neck rotation, such as posterior fossa surgery. It is characterized by the development of swelling in the submandibular region, usually contralateral to the surgical side, either immediately or within hours post-operatively. We report a case of a 43-year-old woman who developed sialadenitis leading to upper airway obstruction in the postoperative period. Further, she developed bilateral neck and face swelling. Dexmedetomidine used as an infusion throughout the surgery could be an additional cause. Swelling without signs of inflammation is rapidly progressive and may cause airway obstruction. Therefore, awareness and recognition are important, as a delay in airway securement can cause a complete collapse of the airway.
Description
Authors
Mona Sharma
Department of Anesthesia and Intensive Care, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
Sandeep Bohara
Department of Neurosurgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Stuti Manandhar
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Lumu Manandhar
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Shyam Krishna Maharjan
Department of Anesthesia and Intensive Care, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal