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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.

DOI:10.1155/2013/154857
PMID:24379978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3860152/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f2c/3860152/003ee5a1f005/CRIM.OTOLARYNGOLOGY2013-154857.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f2c/3860152/5f4351644f27/CRIM.OTOLARYNGOLOGY2013-154857.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f2c/3860152/76bee445c17a/CRIM.OTOLARYNGOLOGY2013-154857.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f2c/3860152/1bf327bcc616/CRIM.OTOLARYNGOLOGY2013-154857.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f2c/3860152/003ee5a1f005/CRIM.OTOLARYNGOLOGY2013-154857.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f2c/3860152/5f4351644f27/CRIM.OTOLARYNGOLOGY2013-154857.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f2c/3860152/76bee445c17a/CRIM.OTOLARYNGOLOGY2013-154857.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f2c/3860152/1bf327bcc616/CRIM.OTOLARYNGOLOGY2013-154857.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f2c/3860152/003ee5a1f005/CRIM.OTOLARYNGOLOGY2013-154857.004.jpg

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本文引用的文献

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Cervical surgical emphysema following routine tonsillectomy.常规扁桃体切除术后的颈部手术性气肿
Rev Laryngol Otol Rhinol (Bord). 2011;132(4-5):241-3.
2
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Am J Otolaryngol. 2010 May-Jun;31(3):212-5. doi: 10.1016/j.amjoto.2009.02.004. Epub 2009 May 1.
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Unusual complications of tonsillectomy: a systematic review.扁桃体切除术的罕见并发症：一项系统评价
Cureus. 2021 Jul 16;13(7):e16430. doi: 10.7759/cureus.16430. eCollection 2021 Jul.
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Iran J Otorhinolaryngol. 2018 Jan;30(96):3-10.
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Facial subcutaneous emphysema after tonsillectomy.扁桃体切除术后面部皮下气肿
Head Face Med. 2014 Apr 11;10:11. doi: 10.1186/1746-160X-10-11.
Am J Otolaryngol. 2007 Nov-Dec;28(6):419-22. doi: 10.1016/j.amjoto.2006.10.016.
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Onset of subcutaneous emphysema and pneumomediastinum after tonsillectomy: a case report.扁桃体切除术后皮下气肿和纵隔气肿的发生：一例报告
Braz J Otorhinolaryngol. 2005 Jan-Feb;71(1):94-6. doi: 10.1016/s1808-8694(15)31292-1. Epub 2006 Jan 2.
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Subcutaneous emphysema and mediastinitis: unusual complications of tonsillectomy.皮下气肿与纵隔炎：扁桃体切除术的罕见并发症
B-ENT. 2005;1(4):197-200.
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Ear Nose Throat J. 2005 Oct;84(10):660-1.
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