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1 results

  • Delayed extensive surgical emphysema after Valsalva manoeuvre post Eustachian tuboplasty

  • S Z M Hussain, S Hashmi, A Qayyum
  • Journal:
    The Journal of Laryngology & Otology / Volume 137 / Issue 11 / November 2023
    Published online by Cambridge University Press:
    17 May 2023, pp. 1293-1296
    Print publication:
    November 2023
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  • 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.