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Subcutaneous emphysema after tonsillectomy: a case report.

Ken-ichi Watanabe1, Mayumi Kunitomo, Yoko Yamauchi

  • 1Department of Otorhinolaryngology, Nippon Medical School, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan. bxp02646@nifty.ne.jp

Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|July 21, 2004
PubMed
Summary

Subcutaneous emphysema is a rare complication following tonsillectomy. This case highlights the importance of careful surgical technique to prevent air from entering tissues during the procedure.

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Area of Science:

  • Otolaryngology
  • Surgical Complications

Background:

  • Tonsillectomy is a common surgical procedure for chronic tonsillitis.
  • Subcutaneous emphysema is a rare but potential complication.

Observation:

  • A 24-year-old male developed swelling and crepitus in the cheek and submandibular area post-tonsillectomy.
  • Radiographic examination confirmed subcutaneous emphysema.

Findings:

  • The subcutaneous emphysema was attributed to surgical factors, not anesthesia.
  • The condition resolved with conservative management including antibiotics.

Implications:

  • Careful dissection during tonsillectomy is crucial to prevent air dissection.
  • Awareness of this complication can aid in prompt diagnosis and management.

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