Mediastinal emphysema as a complication of the tonsilloadenotomy in child
Journal Title: Otolaryngologia Polska - Year 2009, Vol 63, Issue 6
Abstract
Aim of the paper: Authors present the case of a 6 years old boy with rare complication of mediastinal emphysema after tonsilloadenotomy. Material and methods: Authors detailed describe the evolution of this complication and methods of its treatment. This complication was treated in Child’s Surgery Clinic where the digestive and respiratory tracts were controlled and upper mediastinotomy with drainage of the mediastinum was performed. Subsequently, the child was treated on the Intensive Care Unit where prolonged intubation and parenteral feeding were used and was discharged completely healed after 7 days. Authors discuss possible causes of this complication as a result of injury of the pharyngeal wall during the operation due to vomits after general anastesia. Results of the treatment: Total period of treatment of this complication was 14 days.The authors deal as well with the issue of underestimating the risk associated with the operational procedures on tonsils, especially in the case of children. They also consider the possibility of performing such procedures in the one day surgery conditions. Conclusions: The analysed complication associated with tonsils operation are rather unusual and its successfull treatment depends on quick and accurate diagnosis, which is possible due to meticulous postoperational care.
Authors and Affiliations
Sławomir Piotrowski, Dominika Jesikiewicz
Keywords
Related Articles
- EP ID EP51844
- DOI -
- Views 117
- Downloads 0
Nowotwory z tkanki limfoidalnej i krwiotwórczej w regionie szyi – analiza epidemiologiczno-kliniczna na przestrzeni 15 lat
Cel: Celem pracy jest analiza epidemiologiczna i kliniczna zachorowań na nowotwory z tkanki limfoidalnej w regionie szyi powstała na podstawie materiałów z 15 lat obserwacji. Materiał: Analizie retrospektywnej poddano d...
Leczenie raka wargi w materiale Kliniki Otolaryngologii i Onkologii Laryngologicznej Collegium Medicum w Bydgoszczy Uniwersytetu Mikołaja Kopernika w Toruniu
The subject of this study is methods and results of treatment of 21 cases of lip cancer between 2007 and 2012, w hich included 15 men and 6 women, aged 48– 63. In 18 cases it was squa mous cell carcinoma, in other 3 baso...
Bone dehiscences in the middle ear in patients operated on ear diseases in the Otolaryngology Department of Jagiellonian University, Poland from 2008 to 2012
Background: We perform the middle ear operation to remove pathological tissue and in the next step present ossicular chain reconstruction. Otosurgeon has to also identify bone dehiscences, as a potential way to develop o...
Lateral petrosectomy in pathology of the temporal bone
Introduction: Certain problems in ear surgery are caused by temporal bone cholestetoma and chronic otitis media complicated by deafness, facial nerve dysfunction, vertigo or meningcephalocele. Lateral petrosectomy offers...
Evaluation of the effectiveness of 18F-FDG-PET/CT examination of head and neck cancer – own experience
Purpose: The aim of the study was to evaluate the usefulness of 18F-FDG-PET/CT in diagnosis of head and neck cancer. Material and methods: 60 18F-FDG-PET/CT examinations were performed in 50 patients diagnosed and treate...