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MEDIASTINAL EMPHYSEMA AND BILATERAL PNEUMOTHORAX FOLLOWING RADICAL DISSECTION OF THE NECK

MEDIASTINAL EMPHYSEMA AND BILATERAL PNEUMOTHORAX FOLLOWING RADICAL DISSECTION OF THE NECK Abstract Surgical procedures about the neck which allow ample opportunity for partial blocking of the upper respiratory passages and for opening the mediastinum provide a situation most favorable for the development of mediastinal emphysema. Berry1 reported 4 cases of thyroidectomy and 1 of tracheotomy in which mediastinal emphysema and bilateral pneumothorax were present at death, which occurred either on the operating table or shortly afterward. At autopsy, in every case, the pleura was intact, and there was no interstitial emphysema present; air, then, must have entered through the operative site. Keis2 reported 8 cases of thyroidectomy, in 5 of which mediastinal emphysema was observed at autopsy. In 4, bilateral pneumothorax was present. In all of these cases, the tracheal and bronchial passageways were normal, and the lungs showed no interstitial emphysema. Keis expressed the opinion that mediastinal emphysema occurring during operations on the upper portion of the neck is References 1. Berry, H. J.: Interstitial Emphysema and Pneumothorax After Operations , Lancet 1:996, 1940. 2. Keis, J.: Studien zur Genese des Mediastinalemphysems und des Pneumothorax bei Kropfoperationen , München. med. Wchnschr. 81:669, 1934. 3. Macklin, C. C.: Transport of Air Along Sheaths of Pulmonary Blood Vessels from Alveoli to Mediastinum , Arch. Int. Med. 64:913 ( (Nov.) ) 1939.Crossref 4. Torrey, R. G., and Grosh. L. C.: Acute Pulmonary Emphysema Observed During the Epidemic of Influenzal Pneumonia at Camp Hancock, Georgia , Am. J. M. Sc. 157:170, 1919.Crossref 5. Hamman, L.: Spontaneous Mediastinal Emphysema , Bull. Johns Hopkins Hosp. 64:1, 1939. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

MEDIASTINAL EMPHYSEMA AND BILATERAL PNEUMOTHORAX FOLLOWING RADICAL DISSECTION OF THE NECK

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Publisher
American Medical Association
Copyright
Copyright © 1941 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1941.01210150121011
Publisher site
See Article on Publisher Site

Abstract

Abstract Surgical procedures about the neck which allow ample opportunity for partial blocking of the upper respiratory passages and for opening the mediastinum provide a situation most favorable for the development of mediastinal emphysema. Berry1 reported 4 cases of thyroidectomy and 1 of tracheotomy in which mediastinal emphysema and bilateral pneumothorax were present at death, which occurred either on the operating table or shortly afterward. At autopsy, in every case, the pleura was intact, and there was no interstitial emphysema present; air, then, must have entered through the operative site. Keis2 reported 8 cases of thyroidectomy, in 5 of which mediastinal emphysema was observed at autopsy. In 4, bilateral pneumothorax was present. In all of these cases, the tracheal and bronchial passageways were normal, and the lungs showed no interstitial emphysema. Keis expressed the opinion that mediastinal emphysema occurring during operations on the upper portion of the neck is References 1. Berry, H. J.: Interstitial Emphysema and Pneumothorax After Operations , Lancet 1:996, 1940. 2. Keis, J.: Studien zur Genese des Mediastinalemphysems und des Pneumothorax bei Kropfoperationen , München. med. Wchnschr. 81:669, 1934. 3. Macklin, C. C.: Transport of Air Along Sheaths of Pulmonary Blood Vessels from Alveoli to Mediastinum , Arch. Int. Med. 64:913 ( (Nov.) ) 1939.Crossref 4. Torrey, R. G., and Grosh. L. C.: Acute Pulmonary Emphysema Observed During the Epidemic of Influenzal Pneumonia at Camp Hancock, Georgia , Am. J. M. Sc. 157:170, 1919.Crossref 5. Hamman, L.: Spontaneous Mediastinal Emphysema , Bull. Johns Hopkins Hosp. 64:1, 1939.

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1941

References