Massive Congestive Facial and Submandibular Oedema Due to Extreme Neck Flexion Following Suboccipital Craniectomy: A Case Report

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 oropharyng...

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Autores principales: Vaithialingam, Balaji, Masapu, Dheeraj, Rudrappa, Satish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9775002/
https://www.ncbi.nlm.nih.gov/pubmed/36569736
http://dx.doi.org/10.7759/cureus.31759
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author Vaithialingam, Balaji
Masapu, Dheeraj
Rudrappa, Satish
author_facet Vaithialingam, Balaji
Masapu, Dheeraj
Rudrappa, Satish
author_sort Vaithialingam, Balaji
collection PubMed
description 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.
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spelling pubmed-97750022022-12-23 Massive Congestive Facial and Submandibular Oedema Due to Extreme Neck Flexion Following Suboccipital Craniectomy: A Case Report Vaithialingam, Balaji Masapu, Dheeraj Rudrappa, Satish Cureus Anesthesiology 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. Cureus 2022-11-21 /pmc/articles/PMC9775002/ /pubmed/36569736 http://dx.doi.org/10.7759/cureus.31759 Text en Copyright © 2022, Vaithialingam et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Vaithialingam, Balaji
Masapu, Dheeraj
Rudrappa, Satish
Massive Congestive Facial and Submandibular Oedema Due to Extreme Neck Flexion Following Suboccipital Craniectomy: A Case Report
title Massive Congestive Facial and Submandibular Oedema Due to Extreme Neck Flexion Following Suboccipital Craniectomy: A Case Report
title_full Massive Congestive Facial and Submandibular Oedema Due to Extreme Neck Flexion Following Suboccipital Craniectomy: A Case Report
title_fullStr Massive Congestive Facial and Submandibular Oedema Due to Extreme Neck Flexion Following Suboccipital Craniectomy: A Case Report
title_full_unstemmed Massive Congestive Facial and Submandibular Oedema Due to Extreme Neck Flexion Following Suboccipital Craniectomy: A Case Report
title_short Massive Congestive Facial and Submandibular Oedema Due to Extreme Neck Flexion Following Suboccipital Craniectomy: A Case Report
title_sort massive congestive facial and submandibular oedema due to extreme neck flexion following suboccipital craniectomy: a case report
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9775002/
https://www.ncbi.nlm.nih.gov/pubmed/36569736
http://dx.doi.org/10.7759/cureus.31759
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