A case of subcutaneous and mediastinal emphysema three days after removal of a tracheostomy tube for oral cancer surgery

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  • YOSHIDA Hiroaki
    First Department of Oral and Maxillofacial Surgery, Osaka Dental University.
  • IKEDA Hayato
    Graduate School of Dentistry (First Department of Maxillofacial Surgery), Osaka Dental University.
  • KITAYOSHI Marina
    Graduate School of Dentistry (First Department of Maxillofacial Surgery), Osaka Dental University.
  • TAKASUGI Norifumi
    Graduate School of Dentistry (First Department of Maxillofacial Surgery), Osaka Dental University.
  • TANI Mitsuru
    Graduate School of Dentistry (First Department of Maxillofacial Surgery), Osaka Dental University.
  • TUJI Kaname
    First Department of Oral and Maxillofacial Surgery, Osaka Dental University.
  • ISEKI Tomio
    First Department of Oral and Maxillofacial Surgery, Osaka Dental University.
  • KOTAKI Shinya
    Department of Oral Radiology, Osaka Dental University.
  • OHSHITA Naohiro
    Department of Anesthesiology, Osaka Dental University.
  • MOMOTA Yoshihiro
    Department of Anesthesiology, Osaka Dental University.

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Other Title
  • 口腔癌手術時の気管切開チューブ抜管から3日後に頸部，前胸部に生じた皮下・縦隔気腫の1例
  • コウクウ ガン シュジュツジ ノ キカン セッカイ チューブ バツカン カラ 3ニチ ゴ ニ ケイブ,ゼン キョウブ ニ ショウジタ ヒカ ・ ジュウカクキシュ ノ 1レイ

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Abstract

<p>Subcutaneous and mediastinal emphysema are complications associated with oral and maxillofacial surgery. A 52-year-old male underwent a surgical operation under general anesthesia that included surgical tracheostomy, dissection of the submental and bilateral submandibular region, and tumor resection for an oral floor carcinoma. The tracheal tube was removed four days after surgery. Six days after surgery the patient developed a massive subcutaneous emphysema extending from his cheeks and neck to his chest wall due to a severe cough. A neck and chest computed tomography examination revealed mediastinal emphysema. We administered conservative treatment with antibiotics. No further complications were observed 12 days after surgery. As the wound healing was uneventful, the patient was discharged after three weeks. Shika Igaku (J Osaka Odontol Soc) 2021; Mar; 84(1):12-16.</p>

Journal

  • Shikaigaku

    Shikaigaku 84 (1), 12-16, 2021-03-25

    Osaka Odontological Society

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