Korean J Anesthesiol.  2003 May;44(5):717-720. 10.4097/kjae.2003.44.5.717.

Submandibular Gland Enlargement Which Appeared Immediately after Insertion of Intubating LMA: Two case reports

• Park HS
• Lim CH
• Lee HW
• Cho H
• Park JY
• Lim HJ
• Yoon SM
• Chang SH

• KMID: 1759992
• DOI: http://doi.org/10.4097/kjae.2003.44.5.717

Abstract

Submandibular gland enlargement in assoication with general anesthesia is an unusual complication and easy to be unnoticeable. This report describes a case of bilateral enlargement of submandibular gland that developed just after failure of inserting Intubating LMA (ILMA) during stormy induction. The submandibular gland enlargement was benign, rubbery in consistency, without crepitus and not massive to inhibit ventilation. The patient's airway could be maintained with LMA. The mechanism of the occurrence remains unknown, but several factors that are most closely associated with this event are parasympathetic hyperactivity, physical obstruction by ILMA. This enlagement was gradually decreased in size within 1 hour and massaged gently and could not be palpated 3 hours later.

Keyword

Complication; intubating LMA; submandibular gland enlargement

MeSH Terms

Anesthesia, General
Submandibular Gland*
Ventilation