Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0034067 (emphysema)
 11,506 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A 50-year-old fit and well man presented to the Accident and Emergency Department in a tertiary centre following lower molar extraction, complaining of voice hoarseness with neck and facial swelling. Clinical examination along with plain film radiography revealed pneumomediastinum and extensive cervical surgical emphysema. He was subsequently admitted for observation and managed conservatively under the ENT team with input from the maxillofacial and anaesthetic teams. With supportive treatment only, the emphysema resolved and he remained well up until discharge.
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PMID:Pneumatic dental extractions: an unusual cause of extensive cervical surgical emphysema. 2841 35

Tracheal rupture is a rare but potentially lethal injury. There are several causes; traumatic, neck surgery, tracheal dilatation and association to intubation. We describe a case of tracheal injury where the patient developed subcutaneous emphysema while coughing in the recovery room. Our patient did initially not complain of any breathing difficulties but after further coughing the emphysema increased and the patient became dyspnoeic. Emergent CT-imaging showed a tracheal injury and our patient was transport to ENT for stent therapy. It is important to recall the risk for tracheal injury. Subcutaneous emphysema and breathing difficulties with debut following extubation should raise the suspicion.
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PMID:[Tracheal injury is a rare but potentially critical complication to intubation]. 3126 15


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