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Pneumoparotid due to Spirometry*

Carl M. Kirsch, MD, FCCP; John Shinn, MD; Richard Porzio, MD; Eric Trefelner, MD; Frank T. Kagawa, MD, FCCP; John H. Wehner, MD, FCCP; William A. Jensen, MD, FCCP
Author and Funding Information

*From the Division of Respiratory and Critical Care Medicine (Drs. Kirsch, Kagawa, Wehner, and Jensen), the Division of Ear, Nose and Throat Surgery (Dr. Shinn), and the Department of Radiology (Drs. Porzio and Trefelner), Santa Clara Valley Medical Center, San Jose, CA.

Correspondence to: Carl M. Kirsch, MD, FCCP, Division of Respiratory and Critical Care Medicine, Santa Clara Valley Medical Center, 751 S. Bascom Ave, San Jose, CA 95128



Chest. 1999;116(5):1475-1478. doi:10.1378/chest.116.5.1475
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Pneumoparotid has been described in patients who generate increased intraoral pressures when playing wind instruments, while coughing, and when undergoing dental work. Some patients have intentionally created pneumoparotid to avoid duties at school or in the military, or to gain attention. We describe a patient who developed pneumoparotid during pulmonary function testing. The diagnosis of pneumoparotid depends on a suggestive clinical situation and glandular swelling with or without crepitus. Observation of aerated saliva per Stensen’s duct or air in the parotid duct and/or gland by any imaging study is diagnostic if infection with a gas-forming organism can be reasonably excluded. No specific treatment is required, other than the avoidance of predisposing activities.

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spirometry

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