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Case Reports in Otolaryngology
Volume 2015, Article ID 949483, 5 pages
http://dx.doi.org/10.1155/2015/949483
Case Report

Postoperative Submandibular Gland Swelling following Craniotomy under General Anesthesia

1Department of Otolaryngology-Head and Neck Surgery, Miyazaki University, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan
2Department of Anesthesiology, Miyazaki University, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan

Received 23 August 2015; Accepted 14 November 2015

Academic Editor: Richard T. Miyamoto

Copyright © 2015 Haruka Nakanishi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Reporting of a rare case of postoperative submandibular gland swelling following craniotomy. Case Report. A 33-year-old male underwent resection for a brain tumor under general anesthesia. The tumor was resected via a retrosigmoid suboccipital approach and the patient was placed in a lateral position with his face down and turned to the right. Slight swelling of the right submandibular gland was observed just after the surgery. Seven hours after surgery, edematous change around the submandibular gland worsened and he required emergent reintubation due to airway compromise. The cause of submandibular gland swelling seemed to be an obstruction of the salivary duct due to surgical positioning. Conclusion. Once submandibular swelling and edematous change around the submandibular gland occur, they can worsen and compromise the air way within several hours after operation. Adequate precaution must be taken for any predisposing skull-base surgery that requires strong cervical rotation and flexion.