Management of massive subcutaneous emphysema with a surgical tracheostomy

Christopher S.N. Yeoh, Azman Mawaddah, Marina Mat Baki, Sani Abdullah

Research output: Contribution to journalArticle

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 12 th 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.

Original languageEnglish
Pages (from-to)97-100
Number of pages4
JournalEgyptian Journal of Ear, Nose, Throat and Allied Sciences
Volume19
Issue number3
DOIs
Publication statusPublished - 1 Nov 2018

Fingerprint

Subcutaneous Emphysema
Tracheostomy
Trachea
Emphysema
Laparoscopy
Laparotomy
Spine
Air
Wounds and Injuries

Keywords

  • Conservative
  • Emphysema
  • Tracheobronchial injury
  • Tracheostomy

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Management of massive subcutaneous emphysema with a surgical tracheostomy. / Yeoh, Christopher S.N.; Mawaddah, Azman; Mat Baki, Marina; Abdullah, Sani.

In: Egyptian Journal of Ear, Nose, Throat and Allied Sciences, Vol. 19, No. 3, 01.11.2018, p. 97-100.

Research output: Contribution to journalArticle

Yeoh, Christopher S.N. ; Mawaddah, Azman ; Mat Baki, Marina ; Abdullah, Sani. / Management of massive subcutaneous emphysema with a surgical tracheostomy. In: Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2018 ; Vol. 19, No. 3. pp. 97-100.
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