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Korean Journal of Anesthesiology 2003;44(5):717-720.
DOI: https://doi.org/10.4097/kjae.2003.44.5.717   
Submandibular Gland Enlargement Which Appeared Immediately after Insertion of Intubating LMA: Two case reports.
Han Seok Park, Choon Hak Lim, Hye Won Lee, Hun Cho, Ji Yong Park, Hae Ja Lim, Suk Min Yoon, Seong Ho Chang
Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University, Seoul, Korea. yourejoice@yahoo.co.kr
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.
Key Words: Complication; intubating LMA; submandibular gland enlargement
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