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Case Reports
. 2019 Jul:122:152-154.
doi: 10.1016/j.ijporl.2019.04.023. Epub 2019 Apr 21.

Massive pneumomediastinum with subcutaneous emphysema after elective adenotonsillectomy in children: Involvement of the Boyle-Davis mouth gag

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Case Reports

Massive pneumomediastinum with subcutaneous emphysema after elective adenotonsillectomy in children: Involvement of the Boyle-Davis mouth gag

L De Coninck et al. Int J Pediatr Otorhinolaryngol. 2019 Jul.

Abstract

Adenotonsillectomy, a very common surgical procedure in otorhinolaryngology, is considered easy and safe surgery. However, clinicians should be aware of some less common but potentially life-threatening complications. This report discusses subcutaneous emphysema with pneumomediastinum following elective adenotonsillar surgery in children. The Boyle-Davis mouth gag seemed to play a part in the pathogenic mechanism of this rare complication in this case. Better insights in the mechanism of this severe complication of adenotonsillectomy may contribute to the prevention of this complication.

Keywords: Adenotonsillectomy; Boyle-Davis mouth gag; Pneumomediastinum; Subcutaneous emphysema.

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