Abstract
Subcutaneous emphysema is characterized by the presence of air in the connective tissue within the fascial planes. The etiology of subcutaneous emphysema includes trauma, iatrogenic causes, or spontaneous development. Head and neck subcutaneous emphysema is a well-defined and life-threatening condition. In case of a large amount of air leaks into the fascial planes, the air can also extend into the retropharyngeal, mediastinal, pleural, and retroperitoneal spaces beyond the subcutaneous layers. Although numerous maxillofacial surgical procedures can cause subcutaneous emphysema, septoplasty has not been reported previously. In this unique case, subcutaneous emphysema developed after elective septoplasty and involved the maxillofacial, retropharyngeal, deep cervical, and orbital regions. The patient was treated conservatively with antibiotic prophylaxis and the condition completely resolved by day 10 spontaneously. Herein, we discuss the available literature data and optimal management strategies for unusual cases of head and neck subcutaneous emphysema.
References
- Ozdogan M, Gurer A, Gokakin AK, Gogkus S, Gomceli I, Aydin R. Treatment of severe subcutaneous emphysema by fenestrated angiocatheter. Intensive Care Med 2005;31:168.
- Azenha MR, Yamaji MA, Avelar RL, de Freitas QE, Laureano Filho JR, de Oliveira Neto PJ. Retropharyngeal and cervicofacial subcutaneous emphysema after maxillofacial trauma. Oral Maxillofac Surg 2011;15:245-9.
- Paquette M, Terezhalmy GT, Moore WS. Subcutaneous emphysema. Quintessence Int 2002;33:478-9.
- Demas PN, Braun TW. Infection associated with orbital subcutaneous emphysema. J Oral Maxillofac Surg 1991;49:1239-42.
- Oliver AJ, Diaz EM Jr, Helfrick JF. Air emphysema secondary to mandibular fracture: case report. J Oral Maxillofac Surg 1993;51:1143-5.
- Brasileiro BF, Cortez AL, Asprino L, Passeri LA, De Moraes M, Mazzonetto R, et al. Traumatic subcutaneous emphysema of the face associated with paranasal sinus fractures: a prospective study. J Oral Maxillofac Surg 2005;63:1080-7.
- Dobler AA, Nathenson AL, Cameron JD, Carpel ET, Janda AM, Pederson JE. A case of orbital emphysema as an ocular emergency. Retina 1993;13:166-8.
- Silver HS, Fucci MJ, Flanagan JC, Lowry LD. Severe orbital infection as a complication of orbital fracture. Arch Otolaryngol Head Neck Surg 1992;118:845-8.
- Frenkel RE, Spoor TC. Diagnosis and management of traumatic optic neuropathies. Adv Ophthalmic Plast Reconstr Surg 1987;6:71-90.
- Henry CH, Hills EC. Traumatic emphysema of the head, neck, and mediastinum associated with maxillofacial trauma: case report and review. J Oral Maxillofac Surg 1989;47:876-82.
- Josephson GD, Wambach BA, Noordzji JP. Subcutaneous cervicofacial and mediastinal emphysema after dental instrumentation. Otolaryngol Head Neck Surg 2001;124:170-1.
- Carmichael F, Ward-Booth RP, Banks JM. Carmichael F, Ward-Booth RP, Banks JM. Oral Surg Oral Med Oral Pathol 1988;66:540-2.
Abstract
Subkutan amfizem, bağ dokuda fasya planları arasında hava bulunmasıyla karakterizedir. Subkutan amfizemin etyolojisi travmatik, iyatrojenik nedenler veya spontan gelişimi içerir. Baş ve boynun subkutan amfizemi, iyi tanımlanmış ve yaşamı tehdit eden bir durumdur. Fasiyal planlara çok miktarda kaçak olması durumunda, hava subkutan dokuların dışında, retrofarengeal, mediastinal, plevral ve retroperitoneal alanlara da yayılabilir. Birçok cerrahi maksillofasiyal işlem subkutan amfizem nedeni olabilmesine rağmen, septoplasti daha önce bildirilmemiştir. Bu benzersiz olguda, subkutan amfizem elektif septoplasti sonrasında gelişti ve maksillofasiyal, retrofarengeal, derin servikal ve orbital bölgelere yayıldı. Hasta antibiyotik profilaksisi eşliğinde konservatif olarak tedavi edildi ve hastalık kendiliğinden 10. günde tamamen düzeldi. Bu makalede, sıra dışı baş ve boyun subkutan amfizemi olguları için mevcut literatür verileri ve optimum tedavi stratejileri tartışıldı
References
- Ozdogan M, Gurer A, Gokakin AK, Gogkus S, Gomceli I, Aydin R. Treatment of severe subcutaneous emphysema by fenestrated angiocatheter. Intensive Care Med 2005;31:168.
- Azenha MR, Yamaji MA, Avelar RL, de Freitas QE, Laureano Filho JR, de Oliveira Neto PJ. Retropharyngeal and cervicofacial subcutaneous emphysema after maxillofacial trauma. Oral Maxillofac Surg 2011;15:245-9.
- Paquette M, Terezhalmy GT, Moore WS. Subcutaneous emphysema. Quintessence Int 2002;33:478-9.
- Demas PN, Braun TW. Infection associated with orbital subcutaneous emphysema. J Oral Maxillofac Surg 1991;49:1239-42.
- Oliver AJ, Diaz EM Jr, Helfrick JF. Air emphysema secondary to mandibular fracture: case report. J Oral Maxillofac Surg 1993;51:1143-5.
- Brasileiro BF, Cortez AL, Asprino L, Passeri LA, De Moraes M, Mazzonetto R, et al. Traumatic subcutaneous emphysema of the face associated with paranasal sinus fractures: a prospective study. J Oral Maxillofac Surg 2005;63:1080-7.
- Dobler AA, Nathenson AL, Cameron JD, Carpel ET, Janda AM, Pederson JE. A case of orbital emphysema as an ocular emergency. Retina 1993;13:166-8.
- Silver HS, Fucci MJ, Flanagan JC, Lowry LD. Severe orbital infection as a complication of orbital fracture. Arch Otolaryngol Head Neck Surg 1992;118:845-8.
- Frenkel RE, Spoor TC. Diagnosis and management of traumatic optic neuropathies. Adv Ophthalmic Plast Reconstr Surg 1987;6:71-90.
- Henry CH, Hills EC. Traumatic emphysema of the head, neck, and mediastinum associated with maxillofacial trauma: case report and review. J Oral Maxillofac Surg 1989;47:876-82.
- Josephson GD, Wambach BA, Noordzji JP. Subcutaneous cervicofacial and mediastinal emphysema after dental instrumentation. Otolaryngol Head Neck Surg 2001;124:170-1.
- Carmichael F, Ward-Booth RP, Banks JM. Carmichael F, Ward-Booth RP, Banks JM. Oral Surg Oral Med Oral Pathol 1988;66:540-2.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | February 7, 2016 |
| Published in Issue | Year 2016 Volume: 26 Issue: 1 |