US and CT of 2 pediatric cases of self-inflicted pneumoparotid and cervicofacial emphysema
Pneumoparotid is a rare cause of parotid swelling characterized by the presence of air in the Stensen's duct and/or the parotid gland. In children, it is often self-inflicted, due to psychiatric disorder or recreational habits (puffing the cheeks, blowing balloons, bruxism…). The diagnosis may...
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Elsevier
2025-04-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325000573 |
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| author | François Chalard, MD Méryle Laurent, MD Eugénie Barras, MD Seema Toso, MD |
| author_facet | François Chalard, MD Méryle Laurent, MD Eugénie Barras, MD Seema Toso, MD |
| author_sort | François Chalard, MD |
| collection | DOAJ |
| description | Pneumoparotid is a rare cause of parotid swelling characterized by the presence of air in the Stensen's duct and/or the parotid gland. In children, it is often self-inflicted, due to psychiatric disorder or recreational habits (puffing the cheeks, blowing balloons, bruxism…). The diagnosis may be suggested by specific signs such as crepitus or foamy saliva flowing from the Stensen's duct. Here, we present 2 cases of involuntary self-inflicted pneumoparotid, diagnosed by ultrasound and CT, in a child and a teenager. Imaging is useful for diagnosis and excluding complications. Ultrasonography may be sufficient to make the diagnosis of pneumoparotid but is less sensitive than CT. CT can make the diagnosis, but also more completely explores the deep cervical spaces and the thorax, especially important in cases with respiratory symptoms. Treatment is usually conservative, in association with behavioral counselling or psychologic/psychiatric therapy, to avoid activities leading to intra oral pressure increase. |
| format | Article |
| id | doaj-art-27227afc14d2439db295a13986baddc5 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-27227afc14d2439db295a13986baddc52025-02-02T05:27:02ZengElsevierRadiology Case Reports1930-04332025-04-0120421532158US and CT of 2 pediatric cases of self-inflicted pneumoparotid and cervicofacial emphysemaFrançois Chalard, MD0Méryle Laurent, MD1Eugénie Barras, MD2Seema Toso, MD3Corresponding author.; Pediatric Radiology, Hôpitaux Universitaires de Genève, Genève, SwitzerlandPediatric Radiology, Hôpitaux Universitaires de Genève, Genève, SwitzerlandPediatric Radiology, Hôpitaux Universitaires de Genève, Genève, SwitzerlandPediatric Radiology, Hôpitaux Universitaires de Genève, Genève, SwitzerlandPneumoparotid is a rare cause of parotid swelling characterized by the presence of air in the Stensen's duct and/or the parotid gland. In children, it is often self-inflicted, due to psychiatric disorder or recreational habits (puffing the cheeks, blowing balloons, bruxism…). The diagnosis may be suggested by specific signs such as crepitus or foamy saliva flowing from the Stensen's duct. Here, we present 2 cases of involuntary self-inflicted pneumoparotid, diagnosed by ultrasound and CT, in a child and a teenager. Imaging is useful for diagnosis and excluding complications. Ultrasonography may be sufficient to make the diagnosis of pneumoparotid but is less sensitive than CT. CT can make the diagnosis, but also more completely explores the deep cervical spaces and the thorax, especially important in cases with respiratory symptoms. Treatment is usually conservative, in association with behavioral counselling or psychologic/psychiatric therapy, to avoid activities leading to intra oral pressure increase.http://www.sciencedirect.com/science/article/pii/S1930043325000573PneumoparotidChildrenUltrasonographyCT |
| spellingShingle | François Chalard, MD Méryle Laurent, MD Eugénie Barras, MD Seema Toso, MD US and CT of 2 pediatric cases of self-inflicted pneumoparotid and cervicofacial emphysema Radiology Case Reports Pneumoparotid Children Ultrasonography CT |
| title | US and CT of 2 pediatric cases of self-inflicted pneumoparotid and cervicofacial emphysema |
| title_full | US and CT of 2 pediatric cases of self-inflicted pneumoparotid and cervicofacial emphysema |
| title_fullStr | US and CT of 2 pediatric cases of self-inflicted pneumoparotid and cervicofacial emphysema |
| title_full_unstemmed | US and CT of 2 pediatric cases of self-inflicted pneumoparotid and cervicofacial emphysema |
| title_short | US and CT of 2 pediatric cases of self-inflicted pneumoparotid and cervicofacial emphysema |
| title_sort | us and ct of 2 pediatric cases of self inflicted pneumoparotid and cervicofacial emphysema |
| topic | Pneumoparotid Children Ultrasonography CT |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325000573 |
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