| Cervicofacial Emphysema and Pneumomediastinum Following Pediatric Adenotonsillectomy |
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Jeong Suk Choi, Hyung Jun Lee, Young Hyun Kim, Bo Hyung Kim, Sung Ho Kang, Myeong Jong Lee, Myeong Sang Yu |
1Department of Otorhinolaryngology, School of Medicine, University of Konkuk, Chungju, Korea. hiyums@hanmail.net
2Department of Anethesiology and pain medicine, School of Medicine, University of Konkuk, Chungju, Korea. |
| 소아에서 편도 및 아데노이드절제술 후 발생한 두경부와 종격동의 다발성 기종 |
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최정석, 이형준, 김영현, 김보형, 강성호, 이명종, 유명상 |
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건국대학교 의학전문대학원 이비인후과학교실,1 건국대학교 의학전문대학원 마취통증의학과학교실2 |
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| Abstract |
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Many patients regard tonsillectomy as a minor operation because it is performed frequently. Although tonsillectomy is considered a relatively safe surgical procedure, numerous complications have been described. The common complications are hemorrhage, infection, and following anesthesia, aspiration, cardiac arrhythmia, and laryngeal trauma. Cervicofacial emphysema and pneumomediastinum are rarely observed sequelae of surgical intervention in the upper aerodigestive tract. Although these complications resolve spontaneously in most cases, a few cases result in tension pneumothorax and other life-threatening conditions. Symptoms include chest pain, neck pain, dyspnea and odynophagia. Treatment involves frequent assessment of the airway and extent of the emphysema. The authors of the present study report of a patient who developed pneumomediastinum shortly after an adenotonsillectomy as well as a review of the related literature. |
| Key Words:
Tonsillectomy;Subcutaneous Emphysema;Pneumomediastinum |
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