Kt. Tzifa et Dw. Skinner, Peri-orbital surgical emphysema following functional endoscopic sinus surgery, during extubation, J LARYNG OT, 115(11), 2001, pp. 916-917
We present a case of peri-orbital surgical emphysema following functional e
ndoscopic sinus surgery (FESS), due to extubation with simultaneous manual
inhalation with a closed expiratory valve. This complication has not been p
reviously reported in association with general anaesthetic and FESS. Patien
ts undergoing FESS are advised against nose blowing. However. we recommend
that the anaesthetist working with a surgeon who performs FESS should also
be warned not to use manual inhalation with a closed expiratory valve while
extubating, as this can cause peri-orbital surgical emphysema.