Panerari Angelo C D, Soter Ana C, Silva Flavio La Porta da, Oliveira Luis F de, Neves Mayra D'Andrea R, Cedin Antonio C
Clínica de Otorrinolaringologia Ivan F. Barbosa, Hospital Beneficência Portuguesa de São Paulo.
Braz J Otorhinolaryngol. 2005 Jan-Feb;71(1):94-6. doi: 10.1016/s1808-8694(15)31292-1. Epub 2006 Jan 2.
Several complications can be related to surgical approaches of head and neck regions. Among those, there are rare conditions such as pneumomediastinum, pneumothorax and subcutaneous cervical emphysema. This study reports a case of a patient that developed pneumomediastinum, pneumothorax and subcutaneous emphysema after undergoing tonsillectomy. In order to reduce these complications in surgical approaches such as tonsillectomy, care should be taken with intubation, use of oxygen mask for positive pressure ventilation during anesthesia recovery, aggressive surgical maneuvers and use of surgical instruments that may cause deep tonsillar injuries.
几种并发症可能与头颈部区域的手术入路有关。其中,有纵隔气肿、气胸和颈部皮下气肿等罕见情况。本研究报告了一例患者在扁桃体切除术后发生纵隔气肿、气胸和皮下气肿的病例。为了减少扁桃体切除术等手术入路中的这些并发症,在插管、麻醉恢复期间使用氧气面罩进行正压通气、激进的手术操作以及使用可能导致扁桃体深部损伤的手术器械时应格外小心。