De Coninck L, Goderis J, Herregods N, Vanspeybroeck S, Vermassen F, Dhont E
Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Faculty of Medicine and Health Sciences, Department of Otorhinolaryngology, Ghent University, Ghent, Belgium.
Int J Pediatr Otorhinolaryngol. 2019 Jul;122:152-154. doi: 10.1016/j.ijporl.2019.04.023. Epub 2019 Apr 21.
Adenotonsillectomy, a very common surgical procedure in otorhinolaryngology, is considered easy and safe surgery. However, clinicians should be aware of some less common but potentially life-threatening complications. This report discusses subcutaneous emphysema with pneumomediastinum following elective adenotonsillar surgery in children. The Boyle-Davis mouth gag seemed to play a part in the pathogenic mechanism of this rare complication in this case. Better insights in the mechanism of this severe complication of adenotonsillectomy may contribute to the prevention of this complication.
腺样体扁桃体切除术是耳鼻喉科一种非常常见的外科手术，被认为是简单且安全的手术。然而，临床医生应意识到一些不太常见但可能危及生命的并发症。本报告讨论了儿童择期腺样体扁桃体切除术后发生的皮下气肿合并纵隔气肿。在该病例中，博伊尔-戴维斯口塞似乎在这种罕见并发症的发病机制中起了作用。对腺样体扁桃体切除术这种严重并发症的机制有更深入的了解可能有助于预防这种并发症。
