Randrup Thomas Skov, Rokkjær Malene Sine
Øre-, Næse-, Hals-afdeling Ø, Regionshospitalet Holstebro, Lægårdvej 12, 7500 Holstebro, Denmark.
Ugeskr Laeger. 2012 Aug 20;174(34):1904-5.
Adenotonsillectomy is a commonly performed procedure in otorhinolaryngology departments. A rare complication is cervicofacial subcutaneous emphysema, that often resolves spontaneously, but may progress to obstruct upper airways or spread to the thorax causing pneumomediastinum or pneumothorax and impair cardiorespiratory function. A case of cervicofacial emphysema in a young woman undergoing routine adenotonsillectomy is presented, and possible mechanisms and treatment options are discussed.
腺样体扁桃体切除术是耳鼻喉科常见的手术。一种罕见的并发症是颈面部皮下气肿,通常可自行缓解,但可能进展为上呼吸道梗阻或蔓延至胸部导致纵隔气肿或气胸,进而损害心肺功能。本文报道了一例年轻女性在接受常规腺样体扁桃体切除术后发生颈面部气肿的病例,并讨论了可能的机制和治疗方案。