Open AccessAcute unilateral post-operative submandibular sialadenitis following posterior cranial fossa surgery
Author(s) -
Satyashiva Munjal,
Amit Srivastava,
Vibha Mehta,
S. Saini
Publication year - 2017
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/ija.ija_137_17
Subject(s) - medicine , sialadenitis , surgery , drooling , airway obstruction , schwannoma , airway , anesthesia , salivary gland
Extreme degree of rotation and flexion of the head during posterior fossa surgeries can lead to acute post-operative submandibular sialadenitis that can cause respiratory compromise. Identification of this problem is vital to prevent deterioration in the early post-operative period. This condition responds well to conservative management provided airway obstruction is taken care of. We discuss a case of a 63-year-old female, with a left side vestibular schwannoma who developed airway obstruction in post-operative period due to swelling of right submandibular gland. Various possible mechanisms leading to this condition and related literature are briefy reviewed.