Potential life-threatening complication of tonsillectomy: cervicofacial surgical emphysema

被引：10

作者：

Shoemaker, Kirsten ^{[1
]}

Thompson, Christopher S. G. ^{[1
,2
]}

Sawant, Rupali ^{[1
]}

Thiel, Gundula ^{[1
]}

机构：

[1] NHS Lothian, Otolaryngol Dept, Livingston, Scotland

[2] Univ Edinburgh, Div Hlth Sci, Anat, Edinburgh, Midlothian, Scotland

来源：

BMJ CASE REPORTS | 2019年 / 12卷 / 01期

关键词：

ear; nose and throat; otolaryngology; ENT;

D O I：

10.1136/bcr-2018-228377

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 30-year-old woman presented to the accident and emergency department 3 days post-tonsillectomy with bleeding from the tonsillar fossa and left-sided facial swelling. The patient denied any dysphagia or breathing difficulties but experienced pain on neck movement. On examination, although the bleeding had stopped on reaching the emergency department, a small clot was noted in her left tonsillar fossa. A left facial/submandibular swelling was seen, which had been present since her operation and was slowly enlarging. Flexible nasendoscopy showed a mild left sided oropharyngeal swelling but was otherwise normal. She was treated initially with antibiotics and hydrogen peroxide gargles. After 24hours of observation and a slight worsening of the swelling she underwent a CT of the neck. This showed widespread indurated subcutaneous surgical emphysema, originating from the left tonsillar bed. Following a period of observation and improvement in her symptoms, she was discharged home with safety netting.

引用

页数：3