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Severe bilateral subcutaneous emphysema after prophylactic treatment: a case report.
J Dent Anesth Pain Med
December 2024
Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
Subcutaneous emphysema is the accumulation of gas or air in loose subcutaneous connective tissue. The use of air-driven handpieces in dental procedures is a common iatrogenic cause of intraoral mucogingival barrier disruption by high-pressure air. This case report describes a 60-year-old woman who underwent prophylactic periodontal treatment with an air-abrasive device and subsequently developed severe bilateral subcutaneous emphysema, extending from the temporal region to the thoracic and mediastinal spaces.
View Article and Find Full Text PDF[Emergency Surgery for Iatrogenic Injury to the Trachea During Emergency Tracheal Intubation].
Kyobu Geka
October 2024
Department of General Thoracic Surgery, Respiratory Center, Gifu University, Gifu, Japan.
An 86-year-old woman lost consciousness at home. Tracheal intubation was performed in the ambulance during transport to our hospital. Computed tomography (CT) showed right putaminal hemorrhage in her brain, right pneumothorax, and mediastinal emphysema.
View Article and Find Full Text PDFUltrasound-guided transbronchial cryobiopsy of mediastinal and hilar lesions: a multicenter pragmatic cohort study with real-world evidence.
BMJ Open Respir Res
December 2024
Department of Pulmonology, University Hospital Zurich, Zurich, Switzerland
Background: Limited data exist on the reliability, efficacy and safety of ultrasound-guided transbronchial cryobiopsy for suspicious mediastinal and hilar lesions. This study shares findings from implementing this method and compares the results with those of the standard endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).
Methods: Patients undergoing diagnostic bronchoscopy for mediastinal or hilar lesions in four Swiss centres were included.
[Transmediastinal Esophagectomy for Esophageal Cancer].
Kyobu Geka
September 2024
Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
We started performing esophagectomy by a laparoscopic transhiatal approach in 2009. Further, we started performing single-port mediastinoscopic cervical approach in 2014, and developed a technique for total mediastinal lymph node dissection. The upper and middle mediastinal lymph node dissection including lymph nodes along the left recurrent laryngeal nerve, using a left cervical approach, was performed with a single-port technique.
View Article and Find Full Text PDFSuccessful pericardial repair and coverage for late pacemaker lead-related atrial perforation and pneumothorax: a case report.
Gen Thorac Cardiovasc Surg Cases
November 2023
Department of Chest Surgery, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan.
Background: Various complications of permanent pacemaker implantation have been reported. However, late pacemaker lead-related myocardial perforation rarely occurs. Conservative treatment is generally selected, if possible, but open heart surgery or catheter lead removal should be considered in symptomatic patients.
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