Iranian Journal of Otorhinolaryngology (Jan 2018)

Subcutaneous Emphysema as a Complication of Tonsillectomy: A Systematic Literature Review and Case Report

  • Panagiotis Saravakos,
  • Margaritis Taxeidis,
  • Ioannis Kastanioudakis,
  • Oliver Reichel

DOI
https://doi.org/10.22038/ijorl.2017.22841.1757
Journal volume & issue
Vol. 30, no. 1
pp. 3 – 10

Abstract

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Introduction: Subcutaneous and mediastinal emphysema is a rare complication after tonsillectomy. This case presentation and literature review summarizes the existing literature on this unusual complication. Materials and Methods: This study presents a case of a 21-year-old man who developed a cervical subcutaneous emphysema 6 days after tonsillectomy, whereby conservative treatment produced spontaneous resolution. A proper analysis of this case also required undertaking a systematic search in MEDLINE/PubMed and SCOPUS electronic databases concerning this rare complication, without language restrictions. Results: Based on our criteria, we identified 41 reports including 43 individual cases, in which patients were mostly young and equally distributed between the genders (17 males and 22 females, two unknown). The treatment was mainly conservative and consisted of observation and/or antibiotic therapy. Conclusion: Subcutaneous or mediastinal emphysema is an uncommon complication after tonsillectomy. It is important that clinicians become aware of this rare complication, which requires a close monitoring of the patient.

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