TY - JOUR A2 - Miyamoto, Richard T. AU - Nakanishi, Haruka AU - Tono, Tetsuya AU - Ibusuki, Shoichiro PY - 2015 DA - 2015/11/30 TI - Postoperative Submandibular Gland Swelling following Craniotomy under General Anesthesia SP - 949483 VL - 2015 AB - 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. SN - 2090-6765 UR - https://doi.org/10.1155/2015/949483 DO - 10.1155/2015/949483 JF - Case Reports in Otolaryngology PB - Hindawi Publishing Corporation KW - ER -