ABSTRACT
Várias complicacões podem estar relacionadas a procedimentos cirúrgicos na área de cabeca e pescoco. Entre elas, o pneumomediastino, pneumotórax e enfisema subcutâneo ocorrem raramente. Relatamos o caso de uma paciente submetida a tonsilectomia palatina que evoluiu com enfisema subcutâneo da região cervical, torácica e pneumomediastino. Em cirurgias de tonsilas palatinas devem ser observados cuidados com a intubacão, uso de máscara sob pressão positiva com oxigênio na recuperacão anestésica, atos cirúrgicos intempestivos e uso de aparelhos que proporcionem lesão excessiva na loja tonsiliana a fim de se evitar as complicacões descritas.
Subject(s)
Humans , Female , Adult , Mediastinal Emphysema/etiology , Pneumothorax/etiology , Subcutaneous Emphysema/etiology , Tonsillectomy/adverse effects , Diagnosis, Differential , Mediastinal Emphysema/diagnosis , Pneumothorax/diagnosis , Subcutaneous Emphysema/diagnosisABSTRACT
Several complications can be related to surgical approaches of head and neck regions. Among those, there are rare conditions such as pneumomediastinum, pneumothorax and subcutaneous cervical emphysema. This study reports a case of a patient that developed pneumomediastinum, pneumothorax and subcutaneous emphysema after undergoing tonsillectomy. In order to reduce these complications in surgical approaches such as tonsillectomy, care should be taken with intubation, use of oxygen mask for positive pressure ventilation during anesthesia recovery, aggressive surgical maneuvers and use of surgical instruments that may cause deep tonsillar injuries.
