Ear, Nose, and Throat Institute, Case Western Reserve University, University Hospitals Case Medical Center, Cleveland, OH, USA.
Am J Otolaryngol. 2012 Jul-Aug;33(4):489-92. doi: 10.1016/j.amjoto.2011.11.001. Epub 2011 Dec 16.
Subcutaneous emphysema of the head and neck after otologic surgery is exceedingly rare. The mechanism relates to the intimate relationship of the temporomandibular joint to the external auditory canal. We present a rare case of subcutaneous emphysema after otologic surgery for ear disease. An astute clinical index of suspicion coupled with prompt treatment can help minimize morbidity and improve patient outcomes.
耳部手术后发生的头颈部皮下气肿极为罕见。其发生机制与颞颌关节和外耳道的密切关系有关。我们报告了一例耳部疾病手术后发生皮下气肿的罕见病例。敏锐的临床怀疑指数加上及时的治疗有助于将发病率降至最低并改善患者的预后。