Respiratory failure after superior-based pharyngeal flap for velopharyngeal insufficiency: A rare complication.
Int J Pediatr Otorhinolaryngol
; 79(7): 1155-7, 2015 Jul.
Article
em En
| MEDLINE
| ID: mdl-25953454
ABSTRACT
Velopharyngeal insufficiency (VPI) is an uncommon pediatric disorder often associated with congenital syndromes. After speech therapy, surgery is the standard management. Many surgical approaches to VPI repair have been reported and the complications of these procedures are well documented. To date, there have been no published cases of respiratory failure secondary to pneumomediastinum, pneumopericardium, and bilateral pneumothoraces with associated subcutaneous emphysema after superior-based pharyngeal flap. We present the first case in the literature. Our proposed etiology for the respiratory failure is air tracking from the flap donor site to the pleural spaces of the thoracic cavity via the visceral or prevertebral fascia following positive pressure ventilation.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Faringe
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Complicações Pós-Operatórias
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Insuficiência Respiratória
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Retalhos Cirúrgicos
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Insuficiência Velofaríngea
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
Limite:
Child, preschool
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Female
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Humans
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article