[Mediastinal emphysema as a complication of the tonsilloadenotomy in child].
OBJECTIVE
Authors present the case of a 6 years old boy with rare complication of mediastinal emphysema after tonsilloadenotomy.


METHODS
Authors detailed describe the evolution of this complication and methods of its treatment. This complication was treated in Child's Surgery Clinic where the digestive and respiratory tracts were controlled and upper mediastinotomy with drainage of the mediastinum was performed. Subsequently, the child was treated on the Intensive Care Unit where prolonged intubation and parenteral feeding were used and was discharged completely healed after 7 days. Authors discuss possible causes of this complication as a result of injury of the pharyngeal wall during the operation due to vomits after general anastesia. RESULTS OF THE TREATMENT: Total period of treatment of this complication was 14 days. The authors deal as well with the issue of underestimating the risk associated with the operational procedures on tonsils, especially in the case of children. They also consider the possibility of performing such procedures in the one day surgery conditions.


CONCLUSIONS
The analysed complication associated with tonsils operation are rather unusual and its successfull treatment depends on quick and accurate diagnosis, which is possible due to meticulous postoperational care.
Piotrowski
Sławomir
S
Oddział Otolaryngologiczny Szpitala Miejskiego im. Brudzińskiego w Gdyni. spiotrowski@wp.pl
Jesikiewicz
Dominika
D
D000233:Adenoidectomy / Q000009:adverse effects*; D002648:Child; D006801:Humans; D015278:Intensive Care Units, Pediatric; D007442:Intubation, Intratracheal / Q000379:methods; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology* / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy*; D014068:Tonsillectomy / Q000009:adverse effects*; D016896:Treatment Outcome