Villagra Siles E J, Rodríguez Perales M A, García Mendoza A, Zaiden Torrez A
Departamento de Otorrinolaringología y Cirugía de Cabeza y Cuello, Hospital Central Militar de México, México DF.
Acta Otorrinolaringol Esp. 2006 May;57(5):251-2. doi: 10.1016/s0001-6519(06)78702-7.
Tonsillectomy is one of the surgical procedures most frequently performed by the ENT specialist. It is considered easy and safe, but many complications have been described. Cervical subcutaneous emphysema and pneumomediastinum are immediate complications relatively infrequent. Deep dissection of the superior pharyngeal constrictor muscle creates a continuity that dries the cervicofacial planes, until it reaches the parapharyngeal, retropharyngeal and prevertebral spaces. It can even reach the mediastinum producing a pneumothorax, which is facilitated by coughing, vomiting or manual ventilation after extubating.
扁桃体切除术是耳鼻喉科专家最常进行的外科手术之一。它被认为简单且安全，但已有许多并发症的报道。颈部皮下气肿和纵隔气肿是相对少见的即刻并发症。对上咽缩肌的深度解剖会形成一个连续性，使颈面部平面干燥，直至到达咽旁、咽后和椎前间隙。它甚至可延伸至纵隔导致气胸，拔管后咳嗽、呕吐或人工通气会促使这种情况发生。
