• J Natl Med Assoc · Sep 2007

    Case Reports

    Pneumomediastinum and retroperitoneal air after removal of papillomas with the microdebrider and jet ventilation.

    • H Steven Sims and Keith Lertsburapa.
    • Chicago Institute for Voice Care, Chicago, IL 60612, USA. hssims@yahoo.com
    • J Natl Med Assoc. 2007 Sep 1; 99 (9): 1068-70.

    ObjectiveTo discuss the complication of pneumothorax from alveolar rupture after transtracheal high-frequency jet ventilation and to present a case of pneumothorax, pneumomediastinum and pneumoperitoneum after jet ventilation coupled with use of the microdebrider.MethodDetailed case report.ResultsUnilateral pnuemothorax, subcutaneous emphysema, pneumomediastinum and retroperitoneal air discovered after jet ventilation for removal of airway papillomas resolved with conservative management.DiscussionWe discuss the difference between the respective patterns of air seepage in a peripheral alveolar injury versus a probable microperforation in the trachea. We also review the epidemiology of this rare disorder and its incidence in the African-American community.ConclusionThe recurrent nature of this disorder mandates multiple surgical procedures. Great care must be taken to eradicate disease and avoid complications. Pneumomediastinum in this setting can be managed conservatively.

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