HNO

, Volume 55, Issue 2, pp 121–124

Das zervikale Hautemphysem

Eine seltene Komplikation nach Tonsillektomie
Kasuistiken
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Zusammenfassung

Das Emphysem der Subkutis oder interstitieller Kompartments vom Hals, insbesondere im Umfeld von Naso-, Oro- oder Hypopharynx, ist Folge einer Perforation im aerodigestiven Trakt; es wird meist postoperativ, selten spontan beobachtet. Leitsymptom ist das „Schneeballknirschen“ bei Palpation, der Nachweis erfolgt am besten im CT. Die differenzialdiagnostische Abklärung, ggf. mit Panendoskopie, ist zum Ausschluss einer Gasphlegmone dringlich. Eine Antibiotikaprophylaxe ist ratsam.

Schlüsselwörter

Tonsillektomie Postoperative Komplikationen Hautemphysem Gasphlegmone Perforation 

Cervical skin emphysema

A rare complication following tonsillectomy

Abstract

Emphysema of the subcutis or interstitial compartments of the neck or around the naso- oro- or hypopharynx is caused by a perforation. In most cases, it occurs after surgery in this area; spontaneous emphysema is very rare. The characteristic symptom is crepitation; the extension is best seen on a CT scan. Endoscopic control of the surgical area for other lesions is necessary. An anaerobic, gas producing infection must be ruled out. Antibiotics should be given prophylactically.

Keywords

Tonsillectomy Postoperative complication Emphysema of the skin Anaerobic infection Perforation 

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Copyright information

© Springer Medizin Verlag 2006

Authors and Affiliations

  1. 1.Klinik für Hals-Nasen-Ohren-HeilkundeLudwig-Maximilian-Universität München
  2. 2.Klinik und Poliklinik für Hals-Nasen- Ohren-Heilkunde der Ludwig-Maximilians-Universität MünchenKlinikum GroßhadernMünchen

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