OBEZ HASTADA ANESTEZİ KABAKULAĞI; OLGU SUNUMU

Year 2019, Volume: 20 Issue: 4, 278 - 281, 21.10.2019

Elif Doğan Bakı , Özge Okursoy Serdar Özkul Remziye Gül Sıvacı

https://doi.org/10.18229/kocatepetip.635205

Abstract

Anestezi kabakulağı, sekonder parotit ya da postoperatif parotit, genel anesteziden sonra tükrük bezlerinin şişmesi ile karakterize nadir görülen bir durumdur. Postoperatif parotit benign ve genelde noninfeksiyöz bir durumdur ve cerrahiden dakikalar sonrası ortaya çıkabildiği gibi günler sonrada görülebilir. Kesin mekanizma bilinmemekle birlikte, ağız içinde basınç artışı, kas gevşetici kullanımına bağlı Stensen kanalı orifisinin kas tonusunun kaybı, tükürük bezi kanallarının tıkanmasına sebep olan sekresyon birikmesi, dehidratasyon, cerrahi sırasındaki hasta pozisyonu gibi nedenlere bağlı oluşabilir. Çoğunlukla semptomatik tedaviyle kendiliğinden iyileşir. Biz üretreskopi (URS) ameliyatı olan 57 yaşındaki obez bayanda ameliyattan 8 saat sonra gelişen akut iki taraflı parotit olgusunu literatür eşliğinde sunduk.

Keywords

Parotit, Anestezi, Obezite

ANESTHESIA MUMPS IN AN OBESE PATIENT; A CASE REPORT

Abstract

Anesthetic mumps, secondary parotitis or postoperative parotitis is a rare case of swelling of salivary glands after general anesthesia. Postoperative parotitis is a benign and usually noninfectious condition and can be seen either minutes or days after the surgery. Although the exact mechanism is unknown, it may be ocur due to the reasons of pressure increase in the mouth, loss of muscle tone of Stensen channel orifice due to muscle relaxant use, accumulation of secretion causing blockage of salivary gland channels, dehydration, and patient position during surgery. It usually heals spontaneously with symptomatic treatment. We report a case of acute bilateral parotitis that developed after 8 hours in a 57 years old obese female patient undergoing urethroscopy (URS).

Keywords

Parotitis, Anesthesia, Obesity

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