Cervicofacial emphysema and pneumomediastinum following pediatric adenotonsillectomy: A rare complication

Shine, Neville; Sader, Chady; Coates, Harvey

doi:10.1016/j.ijporl.2005.04.014

Cited by 29 publications

(20 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Subcutaneous emphysema, pneumomediastinum, pneumopericardium, retropharyngeal-prevertebral pneumatosis, and epidural pneumatosis are a quite rare complication of adenotonsillectomy that tends to develop intraoperatively or during the postoperative period [1]. This case is unusual in that these frightening complications developed extensively with severe vomitting at the third hour of postoperative period when there was no other problem.…”

Section: Discussionmentioning

confidence: 99%

“…Because the paraphayrngeal and retropharyngeal spaces are connected anatomically, the air then travels to the mediastinum. The process is facilitated by events such as coughing, vomitting, respiratory infections, and straining that raise upper airway pressure [1, 2, 5]. In the second mechanism, these complications can also arise from injury during intubation, excessive intra-alveolar pressure, and activities that increase the intrathoracic pressure.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication

Görgülü

Koç

Görgülü

2018

Case Reports in Otolaryngology

View full text Add to dashboard Cite

Adenotonsillectomy is a common surgical otolaryngology procedure that is associated with several complications, including hemorrhage, odynophagia, damage to teeth, taste disorders, atlantoaxial subluxation, lingual edema, infection, and injury of the carotid artery. Pneumomediastinum, pneumopericardium, and epidural pneumatosis are an extremely unusual condition in children with adenotonsillectomy. Treatment should be conservative in the majority of cases and based on benign self-limiting course of these diseases; early recognition can prevent further complications. The combination of pneumomediastinum with epidural pneumatosis, pneumopericardium, retropharyngeal-prevertebral pneumatosis, axillar-perihumeral pneumatosis, and subcutaneous emphysema is also a very rare condition. We present a unique case with the radiological findings of air in all of these areas in a 6-year-old male child with adenotonsillectomy. The case was unusual in that the patient developed this complication 3 hours later after adenotonsillectomy with severe vomitting. The possible mechanism, the algorithm of treatment, and precautions in such cases will be discussed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication

Görgülü

Koç

Görgülü

2018

Case Reports in Otolaryngology

View full text Add to dashboard Cite

show abstract

“…Broad-spectrum antibiotic prophylaxis is typically given to prevent infection secondary to migration of oral cavity flora through the mucosal defect. Additionally, oxygen may be used to expedite nitrogen absorption within the air space [10]. …”

Section: Discussionmentioning

confidence: 99%

Late presentation of subcutaneous emphysema and pneumomediastinum following elective tonsillectomy

Tran¹,

Littlefield²

2015

American Journal of Otolaryngology

View full text Add to dashboard Cite

“…Subcutaneous emphysema, with or without pneumomediastinum, is an extremely unusual complication of adenotonsillar surgery [5–8]. The mechanism by which free air may gain entry into the soft tissue planes of the neck is a matter of speculation.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous Emphysema and Pneumomediastinum after Tonsillectomy

Koukoutsis

Balatsouras

Ganelis

et al. 2013

Case Reports in Otolaryngology

View full text Add to dashboard Cite

Cervicofacial subcutaneous emphysema is a rare complication of tonsillectomy that often resolves spontaneously but may progress to obstruct upper airways or spread to the thorax causing pneumomediastinum or pneumothorax. The mechanisms by which subcutaneous emphysema and pneumomediastinum may develop after tonsillectomy are poorly understood. A case of a 21-year-old female undergoing routine adenotonsillectomy, who developed cervicofacial emphysema and pneumomediastinum, is presented. Possible pathogenetic mechanisms and treatment options are discussed.

show abstract

Cervicofacial emphysema and pneumomediastinum following pediatric adenotonsillectomy: A rare complication

Cited by 29 publications

References 13 publications

Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication

Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication

Late presentation of subcutaneous emphysema and pneumomediastinum following elective tonsillectomy

Subcutaneous Emphysema and Pneumomediastinum after Tonsillectomy

Contact Info

Product

Resources

About