Cervicofacial emphysema and pneumomediastinum complicating adenotonsillectomy
Main Article Content
Abstract
Subcutaneous emphysema after adeno-tonsillectomy is rarely encountered. One of such cases following adenotonsilectomy was seen in our institution.
We report the case of a 5-year-old girl who developed cervicofacial emphysema and pneumomediastinum following retching and vomiting 6 hours after a routine adenotonsillectomy. Radiograph of the jaws and chest revealed subcutaneous emphysema. Previously published cases showed that the cause was most likely due to air passing into subcutaneous tissue through the tonsillar fossa and superior constrictor muscle into the facial layers of the neck following a bout of coughing and straining (crying), or the use of positive pressure ventilation. The emphysema can then spread to parapharyngeal and retropharyngeal spaces with associated morbidities. Further complications may include pneumothorax and pneumomediastinum and this should be excluded.Article Details
How to Cite
ADEKANYE, A. G. et al.
Cervicofacial emphysema and pneumomediastinum complicating adenotonsillectomy.
Medical Research Archives, [S.l.], v. 5, n. 6, june 2017.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/1317>. Date accessed: 16 dec. 2024.
Keywords
subcutaneous emphysema; pneumo-mediastinum; adenotonsillectomy
Section
Case Reports
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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2. Van den Akker EH, Schilder AG, Kemps YJ, Van Balen FA, Hordjk GJ, Hoes AW, Current indications for (Adeno) tonsillectomy in children: A survey in the Netherlands. Int J Pediatr otorhinolaryngol. 2003; 6(67): 603- 607.
3. Bhattacharyya N, Lin HW, Changes and consistencies in the epidemiology of pediatric adenotonsillar surgery 1996-2006. Otolaryngol Head Neck surg. 2010; 5 (143): 680-684.
4. Amin R, Somers VK, McConnell K, Activity-adjusted 24-hour ambulatory blood pressure and cardiac remodeling in children with sleep disordered breathing. Hypertension. 2008;
1 (51): 84-91.
5. Gozal D, Capdevila OS, Kheirandish-Gozal L, Metabolic alterations and systemic inflammation in obstructive sleep apnea among nonobese and obese prepubertal children. Am J Respir Crit Care Med. 2008; 10 (177): 1142-1149.
6. Nafiu OO, Green GE, Walton S, Morris M, Reddy S, Tremper KK, Obesity and risk of perioperative complications in children presenting for adenotonsillectomy. Int JPediatr Otorhinolaryngol.vol. 2009; 1 (73): 89-95.
7. Hung MH, Shin PY, Yang YM, Lan JY, Fan SZ, and Jeng CS, Cervicofacial subcutaneous emphysema following tonsillectomy: implications for anaesthesiologists. Acta Anaesthesiologica Taiwanica. , 2009; 3 (47): 134-137.
8. Miman MC, Oztuan O, Durmus M, Kalcioglu MT, Gedik E, Cervical subcutaneous emphysema: an unusual complication of adenotonsillectomy. Paediatr. Anaesthisol. 200; (11): 491-493.
9. Jiang RS, Mora R, Cervicofacial surgical emphysema following tonsillectomy: a case report. Hindawi Publishing Corporation. 2014; (2014): 2.
10. Yammine NV, Alherabi A, Gerin-Lajoie J, Post- tonsillectomy subcutaneous emphysema and pneumomediastinum. J Otolaryngol