Saravakos Panagiotis, Taxeidis Margaritis, Kastanioudakis Ioannis, Reichel Oliver
Department of Otorhinolaryngology, Head and Neck Surgery, Siloah St. Trudpert Hospital, Pforzheim, Germany.
Department of Otorhinolaryngology Head and Neck Surgery, University Hospital of Ioannina, Ioannina, Greece.
Iran J Otorhinolaryngol. 2018 Jan;30(96):3-10.
Subcutaneous and mediastinal emphysema is a rare complication after tonsillectomy. This case presentation and literature review summarizes the existing literature on this unusual complication.
This study presents a case of a 21-year-old man who developed a cervical subcutaneous emphysema 6 days after tonsillectomy, whereby conservative treatment produced spontaneous resolution. A proper analysis of this case also required undertaking a systematic search in MEDLINE/PubMed and SCOPUS electronic databases concerning this rare complication, without language restrictions.
Based on our criteria, we identified 41 reports including 43 individual cases, in which patients were mostly young and equally distributed between the genders (18 males and 23 females, two unknown). The treatment was mainly conservative and consisted of observation and/or antibiotic therapy.
Subcutaneous or mediastinal emphysema is an uncommon complication after tonsillectomy. It is important that clinicians become aware of this rare complication, which requires a close monitoring of the patient.
皮下及纵隔气肿是扁桃体切除术后一种罕见的并发症。本病例报告及文献综述总结了关于这一罕见并发症的现有文献。
本研究报告了一例21岁男性患者，其在扁桃体切除术后6天出现颈部皮下气肿，经保守治疗后自行消退。对该病例进行恰当分析还需要在MEDLINE/PubMed和SCOPUS电子数据库中对这一罕见并发症进行系统检索，无语言限制。
根据我们的标准，我们确定了41篇报告，包括43例个体病例，其中患者大多为年轻人，性别分布均衡（18例男性和23例女性，2例未知）。治疗主要为保守治疗，包括观察和/或抗生素治疗。
皮下或纵隔气肿是扁桃体切除术后一种不常见的并发症。临床医生认识到这种罕见并发症很重要，这需要对患者进行密切监测。
