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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

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Exceptional post-tonsillectomy cervicofacial emphysema: A case report.

G Kharrat¹, S Ferchichi¹, S Jebahi¹

¹ENT Department, Mohamed Taher Maâmouri Universitary Hospital, Nabeul, Tunisia; Tunis El Manar University, Faculty of Medicine of Tunis, Tunisia.

International Journal of Surgery Case Reports

|June 18, 2024

Summary

This summary is machine-generated.

Post-tonsillectomy cervicofacial emphysema is a rare but serious complication. Early diagnosis and conservative management are key to preventing potentially fatal respiratory issues.

Keywords:

Dyspnea Emphysema Pneumomediastinum Subcutaneous Tonsillectomy

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Area of Science:

Otorhinolaryngology
Surgical Complications
Medical Imaging

Background:

Tonsillectomy, a common ENT procedure, carries a low risk of severe complications.
Cervicofacial emphysema is an exceptionally rare post-tonsillectomy complication.

Observation:

A case of cervicofacial emphysema following tonsillectomy in a healthy adult woman is presented.
Symptoms included subcutaneous emphysema in the neck and face, confirmed by CT scan extending to the mediastinum.

Findings:

Cervicofacial emphysema presents as non-tender swelling and crepitus.
CT imaging is crucial for assessing the extent of emphysema, including mediastinal involvement.

Implications:

Prompt diagnosis and conservative management, including antibiotics and airway monitoring, are vital.
Vigilance during surgery and prompt intervention are essential to avoid life-threatening respiratory failure.