surgical emphysema


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Related to surgical emphysema: flail chest, Tension pneumothorax

sur·gi·cal em·phy·se·ma

subcutaneous emphysema from gas trapped in the tissues by an operation or injury, frequently seen after carbon dioxide insufflation during laproscopic procedures.

sur·gi·cal em·phy·se·ma

(sŭr'ji-kăl em'fi-sē'mă)
Subcutaneous emphysema from air trapped in the tissues by an operation or injury.

surgical emphysema

Air or gas in the tissues, most commonly in the neck as a result of leakage from a lung, injury to the OESOPHAGUS or fracture of the wall of one of the nasal SINUSES. There is a characteristic crackling effect when the affected area is pressed with the fingers. Surgical emphysema is not, in itself, harmful and the air soon absorbs if further leakage from the source is prevented.

emphysema

a pathological accumulation of air in tissues. The air may derive from a skin laceration and be drawn in by the movements of muscles. A discontinuity of the tracheal mucosa is a common cause, either by way of laceration or ulceration. Extension from a pulmonary lesion is also common. The syndrome resulting depends on the location of the air. See also pulmonary emphysema and subcutaneous emphysema (below).

acute bovine pulmonary emphysema
alveolar emphysema
see pulmonary emphysema (below).
bullous emphysema
emphysema in which bullae form in areas of lung tissue so that these areas do not contribute to respiration.
conjunctival emphysema
may occur after head trauma which permits escape of air from the paranasal sinuses.
fetal emphysema
see emphysematous/putrescent fetus.
generalized emphysema
widespread distribution of air, including subcutaneous tissues, seen with pneumomediastinum.
hypoplastic emphysema
pulmonary emphysema due to a developmental abnormality, resulting in a reduced number of alveoli, which are abnormally large.
interlobular emphysema
accumulation of air in the septa between lobules of the lungs.
interstitial emphysema
presence of air in the peribronchial and interstitial tissues of the lungs.
intestinal emphysema
a condition marked by accumulation of gas under the tunica serosa of the intestine.
lobar emphysema
emphysema involving less than all the lobes of the affected lung.
mediastinal emphysema
orbital emphysema
may occur after trauma to the head which permits escape of air from the paranasal sinuses; appears as swelling with crepitus under the conjunctiva or periocular skin.
panacinar emphysema, panlobular emphysema
generalized obstructive emphysema affecting all lung segments, with atrophy and dilatation of the alveoli and destruction of the vascular bed.
pulmonary emphysema
distention of the lung caused by overdistention of alveoli and rupture of alveolar walls (alveolar emphysema) and in some cases escape of air into the interstitial spaces (interstitial emphysema). It is a common pathological finding in many diseases of the lung in all species, but also occurs independently, especially in horses, as a principal lesion in chronic obstructive pulmonary disease. It is also a prominent lesion in bovine atypical interstitial pneumonia. It is always secondary to a primary lesion which effectively traps an excessive amount of air in the alveoli. It is characterized clinically by cough, dyspnea, forced expiratory effort and poor work tolerance. A double expiratory effort is a characteristic sign—hence broken wind.
subconjunctival emphysema
occurs with fractures involving the paranasal sinuses.
subcutaneous emphysema
air or gas in the subcutaneous tissues. The characteristic lesion is a soft, mobile swelling which crackles like stiff paper when palpated. There is no pain, nor heat and no ill effects unless the pharyngeal area is sufficiently involved to cause asphyxia.
surgical emphysema
subcutaneous emphysema following operation.
unilateral emphysema
emphysema affecting only one lung, frequently due to congenital defects in circulation.
vesicular emphysema
see panacinar emphysema (above).
References in periodicals archive ?
A case of surgical emphysema following dental restoration work was also reported by Bavinger.
Otolaryngologists and maxillofacial and dental surgeons should be aware of the fact that any dental procedure involving the use of air turbines can potentially result in surgical emphysema.
Generalized surgical emphysema as an early complication of facial fracture: A case report.
Table 1 Conditions that were considered to be complications in this study Definite perforation Perforation on contrast study Endoscope noted to be outside the esophageal lumen during surgery Surgical emphysema of the neck Pneumothorax or mediastinal emphysema Probable perforation Chest or back pain Tachycardia >100 bpm Pyrexia >37.
Later that evening, surgical emphysema was noted over the right neck wound.