Obstruction In Postoperative Period Research Articles

Acute unilateral post-operative submandibular sialadenitis following posterior cranial fossa surgery.

Extreme degree of rotation and flexion of the head during posterior fossa surgeries can lead to acute post-operative submandibular sialadenitis that can cause respiratory compromise. Identification of this problem is vital to prevent deterioration in the early post-operative period. This condition responds well to conservative management provided airway obstruction is taken care of. We discuss a case of a 63-year-old female, with a left side vestibular schwannoma who developed airway obstruction in post-operative period due to swelling of right submandibular gland. Various possible mechanisms leading to this condition and related literature are briefy reviewed.

Ascaris Lumbricoides: Post Operative Hypoxia

Post operative airway obstruction may be due to anaesthesia related factors such as residual anaesthetic or sedative effects of drugs, inadequate antagonism of neuromuscular block or secondary to several physical factors such as compression of airway due to haematoma, bilateral recurrent laryngeal nerve palsies, massive tongue swelling, paradoxical vocal cord motion or simply obstruction by mucous plug. The case reported highlights the possibility of unusual airway obstruction in post operative period due to obstruction caused by regurgitation of round worm (Ascaris Lumbricoides).