Preoperative pulmonary evluation in 88 patients with class 111 or IV mitral valve disease revealed emphysema to be present io 17. Total operative mortality was 17 percent, 7 percent in patients without emphysema, 65 percent in patients with emphysema (37 percent when generalized throughout both lungs and 89 percent when upper lobe). In patients with mitral valve disease an increase in left atri...

A 20-year-old woman presented with painful left sided facial swelling and discomfort following dental extraction for a left lower molar tooth that required local anaesthetic and an air turbine drill. The patient was initially diagnosed as experiencing an allergic reaction to the anaesthetic used. The discomfort began in the left side of her face postoperatively, radiating down her neck and to h...

Case Description- A 3-year-old male mix breed dog was referred to the veterinary hospital forevaluation of extensive subcutaneous emphysema. The emphysema was Initially confined to thethoracic region and then progressed symmetrically over the abdominal regions, even face andextremities. The animal had normal appetite and physical examination. Crackling sensation wasdetected on palpation of the ...

Tracheobronchial ruptures (TBR) rarely complicate surgical procedures under general anesthesia. Seemingly uneventful intubations can result in injury to the trachea, which often manifests as hemoptysis and subcutaneous emphysema. We present 2 patients with postintubation TBR who were treated surgically and discuss considerations in the management of this potentially lethal injury.

Proposing to place endosseous implants is an integral facet of dental treatment plans. Their insertion is usually associated with a low incidence of untoward events. However, despite careful planning, surgical complications can arise: infection, intraoral hemorrhage, wound dehiscence, postoperative pain, lack of primary implant stability, inadvertent penetration into the maxillary sinus or nasa...

A 25-year-old woman underwent surgical tooth extraction. Several hours after the procedure, the woman complained of severe retrosternal pain and mild dyspnea. Subsequent imaging revealed subcutaneous emphysema from the mandibular region extending to the mediastinum and left side pneumothorax, as well as pneumopericardium. After treatment with antibiotics and analgesics, the patient recovered wi...

RATIONALE Previous investigations have identified several potential predictors of outcomes from lung volume reduction surgery (LVRS). A concern regarding these studies has been their small sample size, which may limit generalizability. We therefore sought to examine radiographic and physiologic predictors of surgical outcomes in a large, multicenter clinical investigation, the National Emphysem...

Congenital lobar emphysema (CLE) is a cause of respiratory distress in newborns and infants. In this study we presented a complicated case of CLE in a 35-day-old infant who was treated successfully with surgical intervention. We reviewed several articles and texts to offer a complete discussion about clinical and paraclinical aspects of this entity. (Tanaffos 2003; 2(5):

We report an unusual case of a patient with a bronchopleural-subcutaneous fistula that occurred 3 years following a lobectomy and en bloc chest wall resection for carcinoma. Following a sudden resolution of subcutaneous emphysema, an epidural air collection developed. Spontaneous pneumorrhachis is a previously unreported late complication after surgical or radiation therapy for lung carcinoma.

A 2 year old girl undergoing investigation for recurrent respiratory infections and failure to thrive presented acutely with neck and face swelling, tongue protrusion, and extreme difficulty in breathing. Examination showed extensive surgical emphysema over her chest, neck and face confirmed on the chest radiograph, which also revealed a pneumomediastinum (fig 1). While being prepared for emerg...