Tian Chun-Hui, Chen Xiao-Juan
Department of Otolaryngology-Head and Neck Surgery, Suzhou Hospital of Anhui Medical University, Suzhou 235200, Anhui Province, China.
World J Clin Cases. 2021 Oct 16;9(29):8932-8937. doi: 10.12998/wjcc.v9.i29.8932.
Severe eyelid edema and blood accumulation in the submandibular space after preauricular fistula surgery is rarely reported.
We report a 4-year-old girl with eyelid edema and swelling of the submandibular region after preauricular fistula resection under general anesthesia. When drug treatment failed, neck computed tomography examination was performed, which confirmed severe bleeding in the submandibular space. Later, exploration and ligation of the superficial temporal artery were performed under general anesthesia to stop the bleeding. The child was successfully treated, and there were no abnormalities over 1 year of follow-up.
When severe bleeding occurs after preauricular fistula surgery, superficial temporal artery rupture should be considered as a cause.
耳前瘘管手术后出现严重眼睑水肿和下颌下间隙积血的情况鲜有报道。
我们报告一名4岁女童，在全身麻醉下行耳前瘘管切除术后出现眼睑水肿和下颌下区域肿胀。药物治疗无效后，进行了颈部计算机断层扫描检查，证实下颌下间隙有严重出血。随后，在全身麻醉下进行颞浅动脉探查和结扎以止血。患儿治疗成功，随访1年无异常。
耳前瘘管手术后发生严重出血时，应考虑颞浅动脉破裂这一原因。
