Anestezik kabakulak; Ameliyat sonrası nadir görülen bir komplikasyon

Öz

Özet Anestezi kabakulağı özellikle ameliyat sonrası parotis bezinin ani şişmesi ile meydana gelen nadir bir komplikasyondur. Semptomatik tedavi veya kendiliğinden günler içerisinde sekel bırakmadan gerilemektedir. Vazodilatasyon, hiperemi, stenon kanalına hava kaçması, perioperatif atropin, süksinilkolin, morfin, propofol gibi ilaçların kullanımı sonucu ve hastanın operasyondaki duruş pozisyonuna bağlı olabileceği düşünülmektedir. Anestezi kabakulağı operasyondan sonra ilk birkaç hafta içinde ortaya çıkar. Bu yazı da double j kateter çıkarılması gibi kısa süreli bir işlemin akşamı gelişen komplikasyonu sunduk.

Anahtar Kelimeler

• Acil servis
• parotis bezi şişmesi
• anestezi kabakulak
• postoperatif komplikasyonlar

Anesthetic mumps; A rare complication after surgery

Öz

Abstract Anesthetic mumps is a rare complication that occurs with sudden swelling of the parotid gland, especially after surgery. Symptomatic treatment or spontaneous regression within days without sequelae. It is thought that it may be due to vasodilation, hyperemia, air leakage into the stenone duct, perioperative use of drugs such as atropine, succinylcholine, morphine, and propofol, and the posture position of the patient in the operation. Anesthetic mumps appears within the first few weeks after the operation. In this article, we presented the complication that developed in the event of a short-term procedure such as double J catheter removal.

Anahtar Kelimeler

• Emergency service
• parotid gland swelling
• anesthesia mumps
• postoperative complications

Kaynakça

1. Referans1. Serin S, Kaya S, Kara CO, Baser S. A case of anesthesia mumps. Anesth Analg 2007;104:1005.
2. Referans2. Narang D, Trikha A, Chandralekha C. Anethesia mumps and Morbit obesity. Acta Anaesthesiol Belg 2010;6:83‑85.
3. Referans3. Mandel L., Surattanont F., Bilateral parotid swelling : a review, ORAL SURG. ORAL. MED. ORAL PATHOL. ORAL RADIOL. ENDOD., 93, 221-37, 2002.
4. Referans4. Kaya C., SEKBAN N., ÖZTÜRK S., GENCER M., Postoperatif Parotitis; Olgu Sunumu Eşliğinde Literatüre Genel Bir Bakış Turkiye Klinikleri J Anest Reanim 2013;11(2):79-82
5. Referans5. Attas M, Sabawala PB, Keats AS. Acute transient sialadenopathy during induction of anesthesia. Anesthesiology 1968;29:1050‑2.
6. Referans6. Bonchek LI (1969) Salivary gland enlargement during induction of anesthesia. JAMA 209:1716–1718
7. Referans7. Gilsanz F, Alvarez J, Martinez R, Vaquero J (1988) Transient parotid gland swelling after neurosurgical procedures. J Neurosurg Sci 32:123–125
8. Referans8. Kimura H, Watanabe Y, Mizukoshi K, Yamamoto Y, Araki S (1993) Six cases of anesthesia mumps. Nippon Jibiinkoka Gakkai Kaiho 96:1915–1921

9. Referans9. Rice DH (1977) Saliva gland physiology. Otolaryngol Clin North Am 10:273–285
10. Referans10. Rubin MM, Cozzi G (1986) Acute transient sialadenopathy associated with anesthesia. Oral Surg Oral Med Oral Pathol 61:227–229
11. Referans11. Shields HM, Soloway RD, Long WB et al (1977) Bilateral recurrent parotid swelling after endoscopy. Gastroenterology 73:164–165
12. Referans12. Slaughter RL (1975) Parotid gland swelling developing during peroral endoscopy. Gastrointest Endosc 22:38–39
13. Referans13. Wakayama S (1968) Salivary gland swelling developing during and immediately after general anesthesia. Anesthesiology 22:14– 17 (in Japanese)