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편도 적출 수술 후에 발생한 경부 기종 2예

Two Cases of Cervical Emphysema after Tonsillectomy

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주제분류이비인후과학

초록

Although tonsillectomy is a common surgical procedure in the otolaryngological department, subcutaneous emphysema after tonsillectomy is a rare complication. While most of the cases are benign and self-limiting, severe sequelae, such as tracheal compression, pneumopericardium, are possible. We present two patients with cervical emphysema after tonsillectomy, and focus on explaining the possible pathologic mechanisms, diagnosis, appropriate management, and nature course of cervical emphysema after tonsillectomy.

Abstract

Although tonsillectomy is a common surgical procedure in the otolaryngological department, subcutaneous emphysema after tonsillectomy is a rare complication. While most of the cases are benign and self-limiting, severe sequelae, such as tracheal compression, pneumopericardium, are possible. We present two patients with cervical emphysema after tonsillectomy, and focus on explaining the possible pathologic mechanisms, diagnosis, appropriate management, and nature course of cervical emphysema after tonsillectomy.

참고문헌 (8)

  1. Kendrick D, "An audit of the complications of paediatric tonsillectomy, adenoidectomy and adenotonsillectomy", Clin Otolaryngol Allied Sci, 18(2), pp.115~117 (1993)
  2. Stewart AE, "Subcutaneous emphysema and pneumomediastinum complicating tonsillectomy", Arch Otolaryngol Head Neck Surg, 130(11), pp.1324~1327 (2004)
  3. Marioni G, "Cervical emphysema and pneumomediastinum after tonsillectomy: it can happen", Otolaryngol Head Neck Surg, 128(2), pp.298~300 (2003)
  4. Vos GD, "Tension pneumoperitoneum as an early complication after adenotonsillectomy", J Laryngol Otol, 109(5), pp.440~441 (1995)
  5. Fechner FP, "Cervical emphysema complicating tonsillectomy with argon beam coagulation", Laryngoscope, 113(5), pp.920~921 (2003)
  6. Miman MC, "Cervical subcutaneous emphysema: an unusual complication of adenotonsillectomy", Paediatr Anaesth, 11(4), pp.491~493 (2001)
  7. Shine NP, "Cervicofacial emphysema and pneumomediastinum following pediatric adenotonsillectomy: a rare complication", Int J Pediatr Otorhinolaryngol, 69(11), pp.1579~1582 (2005)
  8. Hampton SM, "Subcutaneous emphysema as a complication of tonsillectomy", J Laryngol Otol, 111(11), pp.1077~1078 (1997)

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