Neck Surgical Emphysema Post Bilateral Breast Implant Exchange Procedure

Summary:. Breast reconstruction using implants is a common and well-established practice in plastic surgery. Some patients who undergo this method of reconstruction later request implant exchange, either due to complications or for cosmetic reasons. Repeated operations can be associated with an incr...

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Main Authors: Thendo T. Netshiongolwe, MBChB (Natal), MSc (Oxon), MMED (WITS), PGDip HPE (UCT), FC Plast Surg (SA), Agnes R. Sema-Ramashala, MBChB (MEDUNSA), FC Derm(SA), MBA (MANCOSA), Elias Ndobe, MBChB (Natal), FCS(SA)
Format: Article
Language:English
Published: Wolters Kluwer 2025-06-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006895
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author Thendo T. Netshiongolwe, MBChB (Natal), MSc (Oxon), MMED (WITS), PGDip HPE (UCT), FC Plast Surg (SA)
Agnes R. Sema-Ramashala, MBChB (MEDUNSA), FC Derm(SA), MBA (MANCOSA)
Elias Ndobe, MBChB (Natal), FCS(SA)
author_facet Thendo T. Netshiongolwe, MBChB (Natal), MSc (Oxon), MMED (WITS), PGDip HPE (UCT), FC Plast Surg (SA)
Agnes R. Sema-Ramashala, MBChB (MEDUNSA), FC Derm(SA), MBA (MANCOSA)
Elias Ndobe, MBChB (Natal), FCS(SA)
author_sort Thendo T. Netshiongolwe, MBChB (Natal), MSc (Oxon), MMED (WITS), PGDip HPE (UCT), FC Plast Surg (SA)
collection DOAJ
description Summary:. Breast reconstruction using implants is a common and well-established practice in plastic surgery. Some patients who undergo this method of reconstruction later request implant exchange, either due to complications or for cosmetic reasons. Repeated operations can be associated with an increased risk of complications. Although the focus is often on surgical complications, anesthetic complications should also be considered when treating such patients. Our case report describes a patient who underwent a bilateral breast implant exchange procedure for cosmetic reasons and presented on postoperative day 1 with a sore throat, difficulty swallowing, and crepitus in the neck region. A clinical diagnosis of surgical emphysema was made and confirmed by radiological investigations. The patient was examined by an otorhinolaryngologist (ear, nose, and throat surgeon), who confirmed the diagnosis, and was treated nonsurgically, showing significant improvement with complete resolution of the condition within a week. This is the first reported case of surgical emphysema in a patient undergoing bilateral breast implant surgery. As more older patients present requesting exchange procedures, surgeons undertaking these procedures need to be aware of both surgical and anesthetic complications associated with operating on older patients and take all precautionary measures to prevent these risks.
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spelling doaj-art-073347462ec24158ae47e79ea44570692025-08-20T02:10:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-06-01136e689510.1097/GOX.0000000000006895202506000-00054Neck Surgical Emphysema Post Bilateral Breast Implant Exchange ProcedureThendo T. Netshiongolwe, MBChB (Natal), MSc (Oxon), MMED (WITS), PGDip HPE (UCT), FC Plast Surg (SA)0Agnes R. Sema-Ramashala, MBChB (MEDUNSA), FC Derm(SA), MBA (MANCOSA)1Elias Ndobe, MBChB (Natal), FCS(SA)2From the * Department of Plastic and Reconstructive Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa† Department of Dermatology, Pietersburg Provincial Hospital, University of Limpopo, Polokwane, South Africa.From the * Department of Plastic and Reconstructive Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South AfricaSummary:. Breast reconstruction using implants is a common and well-established practice in plastic surgery. Some patients who undergo this method of reconstruction later request implant exchange, either due to complications or for cosmetic reasons. Repeated operations can be associated with an increased risk of complications. Although the focus is often on surgical complications, anesthetic complications should also be considered when treating such patients. Our case report describes a patient who underwent a bilateral breast implant exchange procedure for cosmetic reasons and presented on postoperative day 1 with a sore throat, difficulty swallowing, and crepitus in the neck region. A clinical diagnosis of surgical emphysema was made and confirmed by radiological investigations. The patient was examined by an otorhinolaryngologist (ear, nose, and throat surgeon), who confirmed the diagnosis, and was treated nonsurgically, showing significant improvement with complete resolution of the condition within a week. This is the first reported case of surgical emphysema in a patient undergoing bilateral breast implant surgery. As more older patients present requesting exchange procedures, surgeons undertaking these procedures need to be aware of both surgical and anesthetic complications associated with operating on older patients and take all precautionary measures to prevent these risks.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006895
spellingShingle Thendo T. Netshiongolwe, MBChB (Natal), MSc (Oxon), MMED (WITS), PGDip HPE (UCT), FC Plast Surg (SA)
Agnes R. Sema-Ramashala, MBChB (MEDUNSA), FC Derm(SA), MBA (MANCOSA)
Elias Ndobe, MBChB (Natal), FCS(SA)
Neck Surgical Emphysema Post Bilateral Breast Implant Exchange Procedure
Plastic and Reconstructive Surgery, Global Open
title Neck Surgical Emphysema Post Bilateral Breast Implant Exchange Procedure
title_full Neck Surgical Emphysema Post Bilateral Breast Implant Exchange Procedure
title_fullStr Neck Surgical Emphysema Post Bilateral Breast Implant Exchange Procedure
title_full_unstemmed Neck Surgical Emphysema Post Bilateral Breast Implant Exchange Procedure
title_short Neck Surgical Emphysema Post Bilateral Breast Implant Exchange Procedure
title_sort neck surgical emphysema post bilateral breast implant exchange procedure
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006895
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