후두 미세 수술 후 발생한 경부 피하기종 1예
A Case of Cervical Subcutaneous Emphysema after Laryngomicroscopic Surgery
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초록
Laryngomicrosurgery (LMS) has been commonly used for benign laryngeal lesion, especially in phonosurgery. LMS has relatively low incidence of complications. Some complications are related to the process of approaching laryngeal lesion, referred to as mechanical complication. Among these mechanical complications, cervical subcutaneous emphysema occurs rarely. Subcutaneous emphysema is the state of existence of gas or air in the layer under the skin. In most cases, it is self-limited, but it may sometimes extend to mediastinum and axilla. We present a case of cervical subcutaneous emphysema following laryngomicrosurgery in a 61-year old male who have the intracordal cyst. The day after surgery, we found right side cervical subcutaneous emphysema, and did conservative management. Two days after surgery, the symptom resolved and the patient was discharged from the hospital. We report this case regarding the diagnosis and treatment with review of literatures.
Abstract
Laryngomicrosurgery (LMS) has been commonly used for benign laryngeal lesion, especially in phonosurgery. LMS has relatively low incidence of complications. Some complications are related to the process of approaching laryngeal lesion, referred to as mechanical complication. Among these mechanical complications, cervical subcutaneous emphysema occurs rarely. Subcutaneous emphysema is the state of existence of gas or air in the layer under the skin. In most cases, it is self-limited, but it may sometimes extend to mediastinum and axilla. We present a case of cervical subcutaneous emphysema following laryngomicrosurgery in a 61-year old male who have the intracordal cyst. The day after surgery, we found right side cervical subcutaneous emphysema, and did conservative management. Two days after surgery, the symptom resolved and the patient was discharged from the hospital. We report this case regarding the diagnosis and treatment with review of literatures.
참고문헌 (16)
- Son HY, "Complications in Microsuspension Laryngoscopy", The Journal of the Korean Society of Logopedics and Phoniatrics, 22(1), pp.23~29 (2011)
- Kang JW, "Oropharyngeal complications associated with laryngomicrosurgery(LMS)", The Journal of the Korean Society of Logopedics and Phoniatrics, 14(1), pp.5~9 (2003)
- Jin S-M, "General Principles in Phonomicrosugery", The Journal of the Korean Society of Logopedics and Phoniatrics, 21(2), pp.101~104 (2010)
- Zeitels SM, "Phonomicrosurgery I: principles and equipment", Otolaryngologic Clinics of North America, 33(5), pp.1047~1062 (2000)[DOI]
- Woo JH, "History and Instrumental Development of Laryngeal Micro-Surgery", The Journal of the Korean Society of Logopedics and Phoniatrics, 21(2), pp.97~100 (2010)
- Robinson P, "Prospective study of the complications of endoscopic laryngeal surgery", The Journal of Laryngology & Otology, 105(5), pp.356~358 (1991)[DOI]
- Hill RS, "Airway complications from laryngoscopy and panendoscopy", Annals of Otology, Rhinology & Laryngology, 96(6), pp.691~694 (1987)[DOI]
- Hendrix RA, "Admission planning and complications of direct laryngoscopy", Otolaryngology-Head and Neck Surgery, 110(6), pp.510~516 (1994)[DOI]
- Corvo MAdA, "Extra-laryngeal complications of suspension laryngoscopy", Revista Brasileira de Otorrinolaringologia, 73(6), pp.727~732 (2007)[DOI]
- Stewart AE, "Subcutaneous emphysema and pneumomediastinum complicating tonsillectomy", Archives of Otolaryngology-Head & Neck Surgery, 130(11), pp.1324~1327 (2004)[DOI]
- Kraus M, "Cervical subcutaneous emphysema due to oropharyngeal barotrauma", Journal of Oral and Maxillofacial Surgery, 53(10), pp.1215~1217 (1995)[DOI]
- Tran DD, "Late presentation of subcutaneous emphysema and pneumomediastinum following elective tonsillectomy", American Journal Of Otolaryngology, 36(2), pp.299~302 (2015)[DOI]
- Maunder RJ, "Subcutaneous and mediastinal emphysema: pathophysiology, diagnosis, and management", Archives of Internal Medicine, 144(7), pp.1447~1453 (1984)[DOI]
- Sonne JE, "Cervical necrotizing fasciitis as a complication of tonsillectomy", Otolaryngology-Head and Neck Surgery, 125(6), pp.670~672 (2001)[DOI]
- Hampton S, "Subcutaneous emphysema as a complication of tonsillectomy", The Journal of Laryngology & Otology, 111(11), pp.1077~1078 (1997)
- Jeon SY, "A Clinical Analysis of Laryngeal Disease which were performed by Laryngeal Microsurgery", J Clinical Otolaryngol, 3(1), pp.115~121 (1992)