Eur J Plast Surg (2016) 39:315–316 DOI 10.1007/s00238-015-1134-x LETTER TO THE EDITOR An unusual case of life-threatening airway compromise complicating a neck dissection 1 1 2 1 Poonam Valand & Christopher John Lewis & Stuart Marsden & Philip Rubin Received: 12 March 2015 /Accepted: 2 July 2015 /Published online: 21 July 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, gested a collection in the submandibular region causing mod- The potential complications associated with neck dissection erate airway compromise and midline airway shift (Figs. 1a, b classically include damage to important neurovascular struc- and 2a, b). Re-exploration of the neck dissection identified tures within the dissection parameters. However, there are no marked swelling of the anterior belly of the digastric and myoglossus muscles, but no collections or haematoma. Mi- documented cases within the literature that describe severe delayed airway compromise as a result of unilateral or bilat- crobiology swabs of the neck sent from theatre confirmed the eral neck swelling in the perioperative period. A degree of presence of Staphylococcus aureus in the wound. Intravenous post-operative swelling is to be expected, but delayed airway tazocin and clindamycin were commenced, and the patient compromise requiring intubation and intensive care unit sup- returned to
European Journal of Plastic Surgery – Springer Journals
Published: Jul 21, 2015
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