• Am J Otolaryngol · Mar 2015

    Review Case Reports

    Late presentation of subcutaneous emphysema and pneumomediastinum following elective tonsillectomy.

    • Daniel D Tran and Philip D Littlefield.
    • Major, Medical Corps, US Army; Department of Otolaryngology; Tripler Army Medical Center; Honolulu, Hawaii. Electronic address: daniel.d.tran.mil@mail.mil.
    • Am J Otolaryngol. 2015 Mar 1; 36 (2): 299-302.

    AbstractSubcutaneous emphysema and pneumomediastinum are rare complications following elective tonsillectomy. Although the mechanism of injury is unclear, air is thought to enter through either the buccopharyngeal mucosa during surgery or via alveolar rupture during positive pressure ventilation. Patients typically present immediately after surgery or upon anesthesia emergence. We describe a case of delayed pneumomediastinum in a 30year-old female who presented 4days after surgery. With only one other case described, we review the literature and remind the reader to be cognizant of this late complication.Published by Elsevier Inc.

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