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颈面部气肿：扁桃体切除术后一种罕见且可能致命的并发症。

Cervicofacial Emphysema: A Rare and Potentially Fatal Complication of Tonsillectomy.

作者信息

Akın Vural, Yasan Hasan, Irmak Çağlar, Tanlak Erdinç, Büyükçelik Bekir

机构信息

Süleyman Demirel University Faculty of Medicine, Department of Otorhinolaryngology and Head & Neck Surgery, Isparta, Türkiye.

Yüksekova State Hospital, Department of Infectious Diseases and Clinical Microbiology, Hakkari, Türkiye.

出版信息

Turk Arch Otorhinolaryngol. 2025 Jun 19;63(1):40-43. doi: 10.4274/tao.2025.2024-12-11. Epub 2025 Jun 16.

DOI:10.4274/tao.2025.2024-12-11
PMID:40518979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12178217/
Abstract

Tonsillectomy is commonly performed in otorhinolaryngology clinics and is a relatively reliable procedure. Nevertheless, several complications, most notably postoperative bleeding, have been identified. Cervicofacial emphysema following tonsillectomy is exceedingly rare. This complication can lead to high-mortality outcomes, such as necrotizing fasciitis, mediastinitis, and pneumomediastinum. In this case report, we present the diagnosis and treatment of cervicofacial emphysema that developed on the third postoperative day in a 25-year-old female patient, along with a review of the relevant literature.

摘要

扁桃体切除术在耳鼻喉科诊所中较为常见，是一种相对可靠的手术。然而，已经发现了几种并发症，最显著的是术后出血。扁桃体切除术后发生颈面部气肿极为罕见。这种并发症可能导致高死亡率的后果，如坏死性筋膜炎、纵隔炎和纵隔气肿。在本病例报告中，我们介绍了一名25岁女性患者术后第三天发生颈面部气肿的诊断和治疗，并对相关文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c85/12178217/d3a1a968bffb/TurkArchOtorhinolaryngol-63-1-40-figure-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c85/12178217/12b13017a5b4/TurkArchOtorhinolaryngol-63-1-40-figure-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c85/12178217/69329b9a726a/TurkArchOtorhinolaryngol-63-1-40-figure-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c85/12178217/fdb4884b98d8/TurkArchOtorhinolaryngol-63-1-40-figure-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c85/12178217/d3a1a968bffb/TurkArchOtorhinolaryngol-63-1-40-figure-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c85/12178217/12b13017a5b4/TurkArchOtorhinolaryngol-63-1-40-figure-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c85/12178217/69329b9a726a/TurkArchOtorhinolaryngol-63-1-40-figure-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c85/12178217/fdb4884b98d8/TurkArchOtorhinolaryngol-63-1-40-figure-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c85/12178217/d3a1a968bffb/TurkArchOtorhinolaryngol-63-1-40-figure-6.jpg

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本文引用的文献

1
Subcutaneous Emphysema Following Tonsillectomy: A Rare Complication of a Common Surgery.扁桃体切除术后皮下气肿：常见手术的罕见并发症
Cureus. 2024 Feb 8;16(2):e53825. doi: 10.7759/cureus.53825. eCollection 2024 Feb.
2
Surgical Neck Emphysema Post Elective Tonsillectomy: Case Report and Literature Review.择期扁桃体切除术后颈前气肿：病例报告及文献复习。
Ear Nose Throat J. 2024 Sep;103(9):565-571. doi: 10.1177/01455613211069352. Epub 2022 Jan 6.
3
The Rare Occurrence of Post-tonsillectomy Surgical Emphysema.扁桃体切除术后手术性气肿的罕见发生情况。
Cureus. 2021 Jul 16;13(7):e16430. doi: 10.7759/cureus.16430. eCollection 2021 Jul.
4
Uncommon but potential life-threatening complication after tonsillectomy: post-tonsillectomy cervicofacial surgical emphysema.扁桃体切除术后罕见但可能危及生命的并发症：扁桃体切除术后颈面部手术性气肿。
BMJ Case Rep. 2018 Feb 14;2018:bcr-2017-223964. doi: 10.1136/bcr-2017-223964.
5
A Rare Complication of Tonsillectomy: Subcutaneous Emphysema.扁桃体切除术的一种罕见并发症：皮下气肿。
Turk Arch Otorhinolaryngol. 2016 Dec;54(4):172-174. doi: 10.5152/tao.2016.1888. Epub 2016 Dec 1.
6
Subcutaneous Emphysema as a Complication of Tonsillectomy: A Systematic Literature Review and Case Report.扁桃体切除术后并发症皮下气肿：系统文献综述与病例报告
Iran J Otorhinolaryngol. 2018 Jan;30(96):3-10.
7
Prevalence of complications from adult tonsillectomy and impact on health care expenditures.成人扁桃体切除术并发症的患病率及其对医疗保健支出的影响。
Otolaryngol Head Neck Surg. 2014 Apr;150(4):574-81. doi: 10.1177/0194599813519972.
8
Unusual complications of tonsillectomy: a systematic review.扁桃体切除术的罕见并发症：一项系统评价
Am J Otolaryngol. 2007 Nov-Dec;28(6):419-22. doi: 10.1016/j.amjoto.2006.10.016.