Siedek V, Betz C S, Leunig A
Klinik und Poliklinik für Hals-Nasen- Ohren-Heilkunde der Ludwig-Maximilians-Universität München, Klinikum Grosshadern, 81366, München.
HNO. 2007 Feb;55(2):121-4. doi: 10.1007/s00106-006-1389-4.
Emphysema of the subcutis or interstitial compartments of the neck or around the naso- oro- or hypopharynx is caused by a perforation. In most cases, it occurs after surgery in this area; spontaneous emphysema is very rare. The characteristic symptom is crepitation; the extension is best seen on a CT scan. Endoscopic control of the surgical area for other lesions is necessary. An anaerobic, gas producing infection must be ruled out. Antibiotics should be given prophylactically.
颈部皮下或间隙组织、鼻-口-下咽周围的皮下气肿是由穿孔引起的。在大多数情况下，它发生在该区域手术后；自发性皮下气肿非常罕见。特征性症状是捻发音；在CT扫描上最能清楚看到其范围。有必要通过内镜检查手术区域是否存在其他病变。必须排除厌氧产气感染。应预防性使用抗生素。
