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頁籤選單縮合
題名 | A Rare Complication After Microlaryngeal Surgery: Subcutaneous Emphysema and Pneumomediastinum=喉顯微手術後之罕見併發症:皮下氣腫和縱隔腔氣腫 |
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作者姓名(中文) | 張英男; 李日清; 陳建志; 林曜祥; | 書刊名 | Journal of the Chinese Medical Association |
卷期 | 73:5 2010.05[民99.05] |
頁次 | 頁268-270+CA48 |
關鍵詞 | 喉部直達顯微鏡手術; 縱隔腔氣腫; 皮下氣腫; Microlaryngeal surgery; Pneumomediastinum; Subcutaneous emphysema; |
語文 | 英文(English) |
英文摘要 | Microlaryngeal surgery is a common and relatively safe otorhinolaryngological surgery. Its common complications include pain and numbness of the tongue, bruising of the lip, and chipped teeth. However, reports of subcutaneous emphysema of the neck with pneumomediastinum following microlaryngeal surgery are rare. A 69-year-old female developed swelling of her left-side cheek and neck after microlaryngeal surgery for anterior glottic web. Palpation revealed subcutaneous emphysema and computed tomography demonstrated pneumomediastinum. The patient was managed conservatively, with complete resolution of symptoms within 2 weeks. Our observations suggest that emphysema likely resulted from increased intrapharyngeal pressure secondary to coughing, vomiting, straining, or manual ventilation after extubation provoked by disruption of the pharyngeal mucosa over the left anterior tonsillar pillar during insertion of the laryngoscope. Although microlaryngeal surgery is considered a relatively safe surgical procedure, it may be associated with significant complications. The procedure should be performed carefully to prevent mucosal injury. |
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