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Peri-orbital surgical emphysema following functional endoscopic sinus surgery, during extubation

Published online by Cambridge University Press:  08 March 2006

K. T. Tzifa  and
D. W. Skinner
K. T. Tzifa
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Royal Shrewsbury Hospital, Shrewsbury, UK
D. W. Skinner
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Royal Shrewsbury Hospital, Shrewsbury, UK
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Abstract

We present a case of peri-orbital surgical emphysema following functional endoscopic sinus surgery (FESS), due to extubation with simultaneous manual inhalation with a closed expiratory valve. This complication has not been previously reported in association with general anaesthetic and FESS. Patients undergoing FESS are advised against nose blowing. However, we recommend that the anaesthetist working with a surgeon who performs FESS should also be warned not to use manual inhalation with a closed expiratory valve while extubating, as this can cause peri-orbital surgical emphysema.

Keywords

Surgical Procedures, OperativeParanasal SinusesSubcutaneous Emphysema
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 115 , Issue 11 , November 2001 , pp. 916 - 917
Copyright
© Royal Society of Medicine Press Limited 2001

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