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后襞穿孔:腺样体扁桃体切除术的罕见并发症。

Posterior plica perforation: rare complication of adenotonsillectomy.

作者信息

Yildirim Yavuz Selim, Senturk Erol, Ozturan Orhan

机构信息

From the Department of Otorhinolaryngology, Bezmialem Vakif University, Fatih, Istanbul, Turkey.

出版信息

J Craniofac Surg. 2014 Jul;25(4):e368-9. doi: 10.1097/SCS.0000000000000842.

DOI:10.1097/SCS.0000000000000842
PMID:25006950
Abstract

Tonsillectomy is one of the most common operations performed by otolaryngologists. Some extraordinary complications of this surgery are massive bleeding, taste perception disorders due to glossopharyngeal nerve damage, hematoma of the mouth floor, jugular vein thrombosis, Grisel syndrome, cervical osteomyelitis, nasopharyngeal stenosis, pulmonary edema, infection, and lingual artery pseudoaneurysm. In this clinical report, an 8-year-old girl presented with a posterior plica perforation after adenotonsillectomy performed 1 week previously and this complication has led to velopharyngeal insufficiency. This rare complication may result from traumatic damage or excessive cauterization of the posterior plica.

摘要

扁桃体切除术是耳鼻喉科医生进行的最常见手术之一。该手术的一些特殊并发症包括大出血、因舌咽神经损伤导致的味觉感知障碍、口底血肿、颈静脉血栓形成、格里斯尔综合征、颈椎骨髓炎、鼻咽狭窄、肺水肿、感染以及舌动脉假性动脉瘤。在本临床报告中,一名8岁女孩在1周前进行腺样体扁桃体切除术后出现咽后壁皱襞穿孔,这种并发症导致了腭咽闭合不全。这种罕见的并发症可能是由于咽后壁皱襞的创伤性损伤或过度烧灼所致。

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