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Published on: December 17, 2014
[Subcutaneous emphysema and pneumomediastinum after tonsillectomy and adenoidectomy]
M A López González1, F Mata Maderuelo, A Abrante Jiménez
1Unidad ORL Pediátrica, Hospital Infantil Universitario, Virgen del Rocío, Sevilla.
Insights
Subcutaneous emphysema and pneumomediastinum in children can result from various causes. This case report details a child experiencing these conditions post-tonsillectomy and adenoidectomy.
Area of Science:
- Pediatric Medicine
- Thoracic Surgery
- Medical Case Reports
Background:
- Subcutaneous emphysema and pneumomediastinum are rare but serious complications in children.
- Etiologies include bronchopulmonary infections, high transalveolar pressure, foreign bodies, and iatrogenic causes like dental or anesthetic procedures.
Observation:
- A case of a pediatric patient presenting with subcutaneous emphysema and pneumomediastinum following tonsillectomy and adenoidectomy is described.
- The clinical presentation and diagnostic process are detailed.
Findings:
- The post-operative occurrence of these conditions suggests a potential link to the surgical procedure.
- Discussion of the specific etiopathogenesis in this case is provided.
Implications:
- Highlights the importance of recognizing and managing these rare post-operative complications in pediatric patients.
- Emphasizes the need for further investigation into the mechanisms linking adenotonsillectomy to pneumomediastinum and subcutaneous emphysema.
Abstract:
In children, subcutaneous emphysema and pneumomediastinum are produced by bronchopulmonary infections, increased transalveolar pressure, bronchotracheal foreign bodies, and anesthetic or dental procedures. The case of a child with subcutaneous emphysema and pneumomediastinum after tonsillectomy and adenoidectomy is reported. The etiopathogenesis is discussed and the literature is reviewed.
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