RESUMO
Tonsillectomy is one of the surgical procedures most frequently performed by the ENT specialist. It is considered easy and safe, but many complications have been described. Cervical subcutaneous emphysema and pneumomediastinum are immediate complications relatively infrequent. Deep dissection of the superior pharyngeal constrictor muscle creates a continuity that dries the cervicofacial planes, until it reaches the parapharyngeal, retropharyngeal and prevertebral spaces. It can even reach the mediastinum producing a pneumothorax, which is facilitated by coughing, vomiting or manual ventilation after extubating.
Assuntos
Enfisema Subcutâneo/etiologia , Tonsilectomia/efeitos adversos , Feminino , Humanos , Pessoa de Meia-Idade , PescoçoRESUMO
Fractures of the jaw are the second ones in order of frequency, being the condylar region the most frequent. With the coming of the rigid fixation, more surgeons now agree with the open approach for the displaced fractures of subcondylar region, specially in adult patients. When a rigid fixation is necessary, retromandibular approach is an effective and safe technique, specially for condylar displaced fractures, in which the facial nerve is exposed without any damage.