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Journal of Paediatric Surgeons of Bangladesh
Case Reports · Vol. 3 No. 1 (2012)

Subcutaneous Emphysema: A Rare Postoperative Complication after Tonsillectomy

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2012
CONTENTSVolume 03Number 1January 2012
Editorial
Gastric Transposition in Long- Gap Esophageal Atresia
Md Abu Jafor
01
Review Articles
Spina Bifida and Hydrocephalus in children: Role of a Paediatric Surgeon
Md Tosadeque Hossain Siddiqui, Shoheli Alam, Zeba Ahmed
37
Original Articles
Bishop Koop Technique is Preferred than Primary Anastomosis in Managing Jejunoileal Atresia in a Setup without Neonatal Intensive Care Unit - Our Initial Experience
MA Mushfiqur Rahman, Md Abdullah Al Farooq, Md Akbar Husain Bhuiyan, Minhajuddin Sajid, Tanvir K Chowdhury, Golam Habib
05
Preputial Dartos Reinforced Snodgrass Tubularized Incised Plate Urethroplasties in Distal Hypospadias to Prevent Urethrocutaneous Fistula
Md Shah Alam Talukder, Debesh Ch Talukder, Md Abdullah Al Mahmud, Mohammed Showkot Ali, Nadiuzzaman Khan, Shankar Chandra Das, Sangul Islam, Md Shafiqul Bari
12
Short Term Outcome of Palliative Measures Taken for Clinically Labeled Unresectable Carcinoma Pancreas
Md Abdullah Al Farooq, MA Mushfiqur Rahman, Tania Tajreen, Mohammad Ali
18
An Audit of the Patients Treated in Paediatric Surgery Department of Ad-din Women’s Medical College Hospital, Dhaka
Musrat Rahman, Rezaul Islam, SM A Alim
26
Comparison between the Outcome of Tunica Vaginalis Blanket Wrap and Non-wrap Procedures in Urethroplasty
Mohammad Minhajuddin Sajid, Md Shahid Karim
30
Case Reports
Inflammatory Myofibroblastic Tumour in Antimesenteric Border of Descending Colon of Children: A Case Report
Shahnoor Islam, AKM Amirul Morshed, Afiqul Islam
47
Subcutaneous Emphysema: A Rare Postoperative Complication after Tonsillectomy
Manilal Aich Litu, Nurul Karim Chowdhury, Mohammad Amzad Hossain, Abdullah Al Mamun, Mashuque Mahmud, Dipali Bishwas, Utpal Kumar Dutta, Md Zahedul Alam
51
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Manilal Aich LituAssociate Professor, ENT & Head Neck Surgery, Sir Sallimullah Medical College and Mitford Hospital, Dhaka
  • Nurul Karim ChowdhuryRegistrar, ENT & Head Neck Surgery, Sir Sallimullah Medical College and Mitford Hospital, Dhaka
  • Mohammad Amzad HossainRegistrar, ENT & Head Neck Surgery, Sir Sallimullah Medical College and Mitford Hospital, Dhaka
  • Abdullah Al MamunMS student, ENT & Head Neck Surgery, Sir Sallimullah Medical College and Mitford Hospital, Dhaka
  • Mashuque MahmudAssistant Registrar, ENT & Head Neck Surgery, Sir Sallimullah Medical College and Mitford Hospital, Dhaka
  • Dipali BishwasAssociated Professor, Oral Anatomy and Physiology, City Dental College, Dhaka
  • Utpal Kumar DuttaRegistrar, ENT & Head Neck Surgery, Sir Sallimullah Medical College and Mitford Hospital, Dhaka
  • Md Zahedul AlamHead of Department, ENT & Head Neck Surgery, Sir Sallimullah Medical College and Mitford Hospital, Dhaka

Keywords

Subcutaneous Emphysema Surgical Emphysema Tonsillectomy

Abstract

Tonsillectomy is considered as a relatively safe procedure. This report aimed at describing an uncommon complication of this surgical procedure - subcutaneous emphysema. A 12 years old girl admitted for tonsillectomy operation. After routine preoperative assessment her operation was performed under general anesthesia. Surgery was uneventful. 7-8 hours after surgery, during follow-up in postoperative room progressing subcutaneous emphysema was noticed which initially involved the neck. But later on, it extended upper chest, upper arms, face & back. Crepitus swelling of neck and bilateral parotid region, typical of subcutaneous emphysema was noted. Chest X ray showed free air in the cervical regions reaching upper mediastinum. There was no airway obstruction and patients general condition was stable. Emphysema was no longer clinically evident 3 days after & patient was released. Subcutaneous emphysema is an uncommon complication of tonsillectomy, appearing almost ever after deeper dissections of the pharyngeal mucosa, when a porous surface is created, thus providing a route for the entry of air. Increased upper airway pressure may contribute to this injury.

Journal of Paediatric Surgeons of Bangladesh (2012) Vol. 3 (1): 51–53

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