Delayed Post-Operative Subcutaneous Emphysema

Jiang, Yuchen; Rajagopal, Rajini; Germain, Stephanie; Silva, Priyamal

doi:10.7759/cureus.13051

Cited by 1 publication

(2 citation statements)

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“…These cases serv e as powerful reminders of the importance of tailor ing treatment strategies to the individual patient' s condition and highlighting the potential complexi ties associated with surgical emphysema. 8,9 According to the findings by Harrison et al, surgi cal emphysema is a relatively common occurrence fol lowing laryngeal trauma, affecting a significant pr oportion of cases, ranging from 35% to 85%. The pre sentation of surgical emphysema can exhibit variati ons, and there is a possibility of rapid deteriorat ion, underscoring the critical need for close monit oring and a high level of suspicion in successfully managing these cases among pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

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Conservative Management of Subcutaneous Emphysema: A Case Series

Septiani,

Saputri,

Permana

et al. 2023

Advances in Health Sciences Research

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Subcutaneous emphysema is a condition characterized by the presence of air within the tissues beneath the ski n, particularly in the chest wall, neck, and other areas of the body. It can occur due to various reasons, in cluding surgical procedures, traumatic injuries to the thoracic cavity, neck, and sinus cavities, infections, or spontaneously. Although subcutaneous emphysema often presents with mild symptoms, it can occasionally beco me severe and pose a life-threatening risk. Two cases were observed involving subcutaneous emphysema. The first case involved a 4-year-old boy who develo ped this condition after a blunt trauma, with swelling and crepitus detected in the anterior neck. In the sec ond case, a 5-year-old boy experienced subcutaneous emphysema as a complication of a tracheotomy, with swelli ng and crepitus extending to the anterior chest and back. To address the issue, a decompression procedure was performed by inserting intravenous catheters into the affected tissues and administering broad-spectrum antib iotics. After respective therapy durations of 14 and 12 days, significant improvement was observed in both ca ses, with minimal residual symptoms remaining Needle decompression effectively relieves subfascial pressure in subcutaneous emphysema, while antibiotics pl ay a crucial role in preventing infections and reducing mortality. Prompt diagnosis and appropriate managemen t are essential to address this condition and its potential complications. Successful implementation of needl e decompression and antibiotic therapy has been observed in relieving symptoms and preventing further issues.

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Section: Discussionmentioning

confidence: 99%

“…Administering emp iric broad-spectrum antibiotics can also be benefic ial in cases involving mucosa tears to prevent the d evelopment of mediastinitis. 8,9 The study presented t wo cases of subcutaneous emphysema and described th eir management at Dr. Hasan Sadikin General Hospita l in Bandung.…”

Section: Introductionmentioning

confidence: 99%