Two Cases of Pneumothorax and Subcutaneous Emphysema Associated with Removal of Neglected Tracheal Foreign Body

Seo, Ji Won; Lee, Dong Kun; Hong, Jong Chul; Park, Heon Soo

doi:10.3342/kjorl-hns.2015.58.1.44

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…However, if there are any other organic conditions that are suspicious of the cause of emphysema, the corresponding treatment should be performed simultaneously. 6,7 In this case, it appeared that there was a high pressure applied to the subcutaneous layer at the tracheal incision site due to severe coughing incidence, leading to massive subcutaneous emphysema and pneumomediastinum. Simple subcutaneous emphysema can be treated with conservative management alone.…”

Section: Discussionmentioning

confidence: 93%

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A Case of Massive Subcutaneous Emphysema and Pneumomediastinum Due to Dehiscence of Stoma After Emergent Tracheostomy

et al. 2022

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Tracheostomy is commonly performed on patients who require long-term ventilator support. As with all other airway managements, tracheostomy comes with risks: tracheal scarring, tracheal rupture, pneumothorax, and tracheoesophageal fistula. Although rare, free air leakage into the surrounding tissues of the tracheostomy site and consequent pneumomediastinum can also occur due to various reasons, such as tracheal rupture and mispositioning of the tracheal tube. Such conditions may require treatments including high flow oxygen, ventilator management, and occasionally surgical intervention. In our case of a 61-year-old female, emergent tracheostomy was performed and subsequent complications of massive pneumomediastinum and subcutaneous emphysema were treated with negative pressure wound therapy. The follow-up radiograph after negative pressure wound therapy showed resolution of pneumomediastinum and subcutaneous emphysema, and there were no additional complications. Negative pressure wound therapy is an effective treatment option for massive pneumomediastinum and subcutaneous emphysema after tracheostomy.

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Section: Discussionmentioning

confidence: 93%

“…However, if there are any other organic conditions that are suspicious of the cause of emphysema, the corresponding treatment should be performed simultaneously. 6,7…”

Section: Discussionmentioning

confidence: 99%

A Case of Massive Subcutaneous Emphysema and Pneumomediastinum Due to Dehiscence of Stoma After Emergent Tracheostomy

et al. 2022

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“…Among these, pneumonia and granuloma are the two leading complications. 19,20 The potential complications of endoscopic manipulation include hemorrhage, pneumomediastinum (which is self-limited in most cases), 21 subcutaneous emphysema, and bronchial perforation. Furthermore, there may be laryngospasm and bronchospasm caused by the stimulation of the bronchial or laryngeal walls, although these are not common in procedures performed under general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

A Case of Bilateral Tension Pneumothorax after the Successful CO₂ Laser-assisted Removal of a Bronchial Foreign Body in a Child

Mun

Lee

et al. 2020

Medical Lasers

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Bronchial foreign body aspiration (BFA) is a common but emergent condition in infants and children. Furthermore, it can result in various complications such as atelectasis, pneumonia, bronchiectasis, and pneumothorax. Among these, pneumothorax is a very rare complication. However, it can be fatal without the swift implementation of appropriate treatment. We experienced a case of 16-month-old girl with an aspirated peanut. The foreign body was fixed in her left main bronchus. A CO2 laser was used to safely cut and break the foreign body. Removal was successful after breaking it. But after the process, inflammatory tissue of the tracheal mucosa was ruptured. Bilateral tension pneumothorax followed after the rupture. The patient was treated with bilateral chest tube insertion. Here we present this BFA case with a rare and unexpected complication. We also review the appropriate literature.

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Two Cases of Pneumothorax and Subcutaneous Emphysema Associated with Removal of Neglected Tracheal Foreign Body

Cited by 2 publications

References 6 publications

A Case of Massive Subcutaneous Emphysema and Pneumomediastinum Due to Dehiscence of Stoma After Emergent Tracheostomy

A Case of Massive Subcutaneous Emphysema and Pneumomediastinum Due to Dehiscence of Stoma After Emergent Tracheostomy

A Case of Bilateral Tension Pneumothorax after the Successful CO₂ Laser-assisted Removal of a Bronchial Foreign Body in a Child

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Two Cases of Pneumothorax and Subcutaneous Emphysema Associated with Removal of Neglected Tracheal Foreign Body

Cited by 2 publications

References 6 publications

A Case of Massive Subcutaneous Emphysema and Pneumomediastinum Due to Dehiscence of Stoma After Emergent Tracheostomy

A Case of Massive Subcutaneous Emphysema and Pneumomediastinum Due to Dehiscence of Stoma After Emergent Tracheostomy

A Case of Bilateral Tension Pneumothorax after the Successful CO2 Laser-assisted Removal of a Bronchial Foreign Body in a Child

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A Case of Bilateral Tension Pneumothorax after the Successful CO₂ Laser-assisted Removal of a Bronchial Foreign Body in a Child