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KMID : 0390220210320010080
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2021 Volume.32 No. 1 p.80 ~ p.84
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A Case of Cervicofacial Subcutaneous Emphysema after Maxillary Sinus Trephination
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Lee Chan-Young
Kim Young-Nam
Kim Bo-Young
Cho Kyoung-Rai
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Abstract
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Caldwell-Luc operation is an old surgery technique which opens the anterior wall of the maxillary sinus through a gingivo-labial incision and removes the inflamed sinus mucosa. After the advent of endoscopic sinus surgery, Caldwell-Luc operation is less performed, but it can be helpful for selected patients with recurrent chronic rhinosinusitis and extensive maxillary diseases such as massive polyposis or tumor, in which endoscopic approach is not sufficient enough to completely clear the maxillary sinus mucosa. Alternatively, less invasive maxillary sinus trephination can be performed, which makes a small anterior window of the maxillary sinus. We report a case of a 49-year-old male who underwent a maxillary sinus trephination for an extensive sinonasal mass and had cervicofacial subcutaneous emphysema one day after surgery, a rare postoperative complication reported in the literature.
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KEYWORD
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Subcutaneous emphysema, Maxillary sinus trephination
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