Abstract
We present a rare and unusual complication of cervico-facial soft tissue emphysema with pneumo-mediastinum which occurred in a 30-year-old female Jordanian patient in our hospital in October 2010 in Abu Dhabi following FESS. CT scan evaluation of aero-digestive tract in the immediate post-operative period was done to ascertain the cause pertaining to any surgical trauma or anaesthesia related complications. Such a case previously unreported has been included in this study. A simple close monitoring after establishing the cause is usually sufficient in management of such related or unrelated complications during FESS which in our case was likely to be anaesthesia related. Published data of such a complication assists in building up a good and effective medical audit based on ethical practice. This paper stresses the importance of immediate CT scan of aero-digestive tract in evaluating the cause.
Highlights
Functional endoscopic sinus surgeries like fronto-maxillo-ethmoido-sphenoidectomy or spheno-ethmoido-maxillo-frontosinusectomy are becoming a common surgical procedure in the treatment of chronic sinus diseases
We present a rare and unusual complication of cervico-facial soft tissue emphysema with pneumo-mediastinum which occurred in a 30-year-old female Jordanian patient in our hospital in October 2010 in Abu Dhabi following FESS
Functional endoscopic sinus surgery encompasses various surgical procedures ranging from simple uncinectomy and fronto-maxillo-ethmoido-sphenoidectomy to extended indication of skull base surgery
Summary
Functional endoscopic sinus surgeries like fronto-maxillo-ethmoido-sphenoidectomy or spheno-ethmoido-maxillo-frontosinusectomy are becoming a common surgical procedure in the treatment of chronic sinus diseases. This surgical technique initially developed by Stammberger and Messerklinger [1] in Austria and Wigand [2] in Germany is becoming very popular among the practicising otorhinolaryngologists of today. A review of available medical literature failed to show any such documented evidence of this complication In our opinion, this may be the first such case report of cervicofacial emphysema with pneumo-mediastinum after minimally invasive endoscopic sinus surgery with definite radiological evidence of tracheal tear
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