SUBCUTANEOUS FACIOCERVICOTORÁSICO EMPHYSEMA AND ITS RESOLUTION THROUGH NEGATIVE PRESSURE THERAPY.

Abstract

INTRODUCTION: faciocervicotorasic subcutaneous emphysema can be defined as an entity resulting from air infiltration within the subcutaneous cellular tissue. The word cervicotorasico refers to the regions involved. OBJECTIVE: to describe negative pressure therapy based on hypodermic needles for the resolution of a subcutaneous faciocervicotrasic emphysema at the hospital level. CLINICAL CASE: A 35-year-old female patient is presented, apparently healthy, originally and resident of the State of Mexico. Referred to the maxillofacial surgery service. On clinical examination, an increase in volume is observed in the region of the left face, bilateral cervical region, trapezoidal area, and bilateral supraclavicular and infraclavicular areas; Upon auscultation of these sites with the stethoscope and palpation, crepitation of the aforementioned areas is identified due to the fact that the patient presented severe desaturation, the immediate management was the application of negative pressure therapy based on hypodermic 32 mm 20 gauge needles. CONCLUSION: Negative pressure therapy based on hypodermic needles is effective for the resolution of subcutaneous faciocervicotorasic emphysema, as long as the affected regions are delimited, also, it is an option to improve critical saturation values.