扁桃体切除术后的皮下气肿和纵隔气肿
Subcutaneous emphysema and pneumomediastinum after tonsillectomy.
作者信息
Koukoutsis George, Balatsouras Dimitrios G, Ganelis Panayotis, Fassolis Alexandros, Moukos Antonis, Katotomichelakis Michael, Kaberos Antonis
机构信息
ENT Department, Tzanion General Hospital, Afentouli 1 & Zanni, 18536 Piraeus, Greece.
ENT Department, Medical School, Democritus University of Thrace, University Hospital of Alexandroupolis, Dragana, 68100 Alexandroupoli, Greece.
出版信息
Case Rep Otolaryngol. 2013;2013:154857. doi: 10.1155/2013/154857. Epub 2013 Nov 26.
Cervicofacial subcutaneous emphysema is a rare complication of tonsillectomy that often resolves spontaneously but may progress to obstruct upper airways or spread to the thorax causing pneumomediastinum or pneumothorax. The mechanisms by which subcutaneous emphysema and pneumomediastinum may develop after tonsillectomy are poorly understood. A case of a 21-year-old female undergoing routine adenotonsillectomy, who developed cervicofacial emphysema and pneumomediastinum, is presented. Possible pathogenetic mechanisms and treatment options are discussed.
颈面部皮下气肿是扁桃体切除术后一种罕见的并发症，通常可自行缓解，但也可能进展为上气道梗阻或蔓延至胸部导致纵隔气肿或气胸。扁桃体切除术后皮下气肿和纵隔气肿的发生机制尚不清楚。本文报告了一例21岁接受常规腺样体扁桃体切除术的女性患者，该患者出现了颈面部气肿和纵隔气肿。文中讨论了可能的发病机制和治疗选择。
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