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Delayed extensive surgical emphysema after Valsalva manoeuvre post Eustachian tuboplasty

Published online by Cambridge University Press:  17 May 2023

S Z M Hussain Open the ORCID record for S Z M Hussain [Opens in a new window] ,
S Hashmi  and
A Qayyum
S Z M Hussain*
Affiliation:
ENT Department, Peterborough City Hospital, Peterborough, UK
S Hashmi
Affiliation:
ENT Department, Peterborough City Hospital, Peterborough, UK
A Qayyum
Affiliation:
ENT Department, Peterborough City Hospital, Peterborough, UK
*
Corresponding author: Syed Zohaib Maroof Hussain; Email: syedzohaibmaroof@hotmail.com
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Abstract

Objective

This paper reports a case of balloon Eustachian tuboplasty with delayed presentation of extensive surgical emphysema.

Methods

This is a clinical case report with a review of literature.

Results

Eustachian tube dysfunction is a functional disorder that results in inadequate middle-ear ventilation, causing aural fullness and tinnitus. A 36-year-old male presented with the sudden onset of an isolated, painful, left-sided neck swelling. The patient underwent balloon Eustachian tuboplasty, which was uneventful, but subsequently developed a sudden onset of isolated left-sided neck swelling on the 5th post-operative day during Valsalva manoeuvre. Neck examination revealed extensive crepitus on the left side of the neck. Examination findings were confirmed by imaging. The patient was conservatively managed and subsequently discharged home.

Conclusion

Balloon Eustachian tuboplasty is a safe procedure; however, extra care must be taken to avoid possible complications. Patients should be counselled against Valsalva manoeuvre and heavy weightlifting. They also should be instructed to sneeze with an open mouth and consider the use of stool softeners.

Keywords

Subcutaneous emphysemaValsalva maneuverEustachian tuboplastyballoon dilatation of Eustachian tube
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 11 , November 2023 , pp. 1293 - 1296
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr S Z M Hussain takes responsibility for the integrity of the content of the paper

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