Barengo Jenna H, Yuen Sonia N, Kennedy Patrick, Shott Sally R
University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Department of Otolaryngology-Head & Neck Surgery, University of Cincinnati Medical Center, Cincinnati, OH, USA.
Int J Pediatr Otorhinolaryngol. 2020 Apr;131:109885. doi: 10.1016/j.ijporl.2020.109885. Epub 2020 Jan 16.
Subcutaneous emphysema is a rare complication of tonsillectomy.We report a case of post-tonsillectomy crepitus with radiographic extravasation of contrast from the tonsil fossa into the neck, subcutaneous emphysema, pneumomediastinum and small pneumothorax in a patient with Down Syndrome. Subsequent direct laryngoscopy showed no visible defect in the mucosal or muscle layers of the tonsil fossa. We explore common presenting symptoms, clinical course, and treatment of subcutaneous emphysema secondary to tonsillectomy.
皮下气肿是扁桃体切除术后一种罕见的并发症。我们报告了一例唐氏综合征患者扁桃体切除术后出现颈部捻发音，造影剂从扁桃体窝外渗至颈部、皮下气肿、纵隔气肿和小气胸的病例。随后的直接喉镜检查显示扁桃体窝的黏膜层或肌肉层未见明显缺损。我们探讨了扁桃体切除术后继发性皮下气肿的常见表现症状、临床病程及治疗方法。
