Management of massive subcutaneous emphysema with a surgical tracheostomy | ||||
| Egyptian Journal of Ear, Nose, Throat and Allied Sciences | ||||
| Article 4, Volume 19, Issue 3, November 2018, Page 97-100 PDF (802.9 K) | ||||
| Document Type: Case report | ||||
| DOI: 10.21608/ejentas.2018.6180.1051 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Christopher SN Yeoh1; Christopher Yeoh Yeoh Siu Ngee  2; Sani Abdullah1
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| 1Department of Otorhinolaryngology, University Kebangsaan Malaysia Medical Center | ||||
| 2Department Of Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia | ||||
| Abstract | ||||
| Introduction: Interventions for massive subcutaneous emphysema is rarely reported in the literature with lack of comparative studies and strong preferences over one treatment option compared to another. Tracheostomy is a conservative measure as compared to primary closure of tracheobronchial injury for the management of massive subcutaneous emphysema. Case report: A 62-year gentleman who developed massive subcutaneous emphysema on the 12th post-operative day following two laparoscopic abdominal surgeries and an exploratory laparotomy. A computer tomographic scan was performed showing a suspicious tenting of the trachea at right posterolateral wall at the level of T2 vertebra with locules of air seen anterolaterally to the trachea. A subsequent microlaryngobronchoscopy performed showed no defect in the subglottic region, nor tracheobronchial tree. He was successfully managed with a surgical tracheostomy whereby the emphysema showed dramatic resolution on the second postoperative day. Conclusion: Surgical tracheostomy demonstrated a success in managing massive subcutaneous emphysema. | ||||
| Keywords | ||||
| Conservative; emphysema; tracheostomy; tracheobronchial injury | ||||
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