Massive Congestive Facial and Submandibular Oedema Due to Extreme Neck Flexion Following Suboccipital Craniectomy: A Case Report.
arnold chiari malformation
congestive oedema
neck flexion
submandibular swelling
suboccipital craniectomy
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
accepted:
21
11
2022
entrez:
26
12
2022
pubmed:
27
12
2022
medline:
27
12
2022
Statut:
epublish
Résumé
A variety of factors could contribute to facial oedema during a prone neurosurgical procedure. For optimal surgical exposure, suboccipital cranial surgeries frequently necessitate extreme neck flexion. Extreme neck flexion in the prone position can impair venous drainage of the facial and oropharyngeal structures, leading to life-threatening oedema, so a two-fingerbreadth space between the chin and the sternum is critical. We present a case of massive facial oedema with submandibular swelling in a patient who underwent foramen magnum decompression in the prone position for Arnold Chiari malformation.
Identifiants
pubmed: 36569736
doi: 10.7759/cureus.31759
pmc: PMC9775002
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e31759Informations de copyright
Copyright © 2022, Vaithialingam et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Clin Imaging Sci. 2020 Dec 10;10:81
pubmed: 33408956
Case Rep Neurol Med. 2012;2012:165860
pubmed: 22934207
Case Rep Otolaryngol. 2015;2015:949483
pubmed: 26697254
Int Surg. 2015 Feb;100(2):292-303
pubmed: 25692433
Eur J Anaesthesiol. 2006 Jan;23(1):83-4
pubmed: 16390574
Spine (Phila Pa 1976). 2011 Jul 1;36(15):E993-7
pubmed: 21304423
J Neurosurg Anesthesiol. 2001 Jul;13(3):237-9
pubmed: 11426099