1/3. Traumatic herniation of the buccal fat pad into the oral cavity.A case is described of traumatic herniation of the buccal pad of fat intraorally in a 4-year-old boy, which presented as a soft pedunculated swelling projecting from the buccal mucosa at occlusal level. The herniated fat was removed under general anaesthesia. The aetiology and treatment of the condition are discussed.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/3. Spinal block, after dantrolene pretreatment, for resection of a thigh muscle herniation in a young malignant hyperthermia susceptible man.We describe a young man who experienced malignant hyperpyrexia, probably triggered by suxamethonium and/or enflurane during his second operation for an epigastric hernia. His malignant hyperthermia susceptibility was later verified using the caffeine/halothane contracture test in vitro. Subsequently, a tumorous mass, consisting of herniated and hypertrophied muscle grew in his thigh, and was resected under spinal anaesthesia. Whereas dantrolene (2.5 mg/kg i.v.) pretreatment produced impaired swallowing, the subsequent high spinal block, in addition, resulted in laboured breathing. It is stressed that respiratory power should be monitored when patients pretreated with dantrolene are given spinal anaesthesia. The muscular symptoms and test results in the patient's relatives are also discussed.- - - - - - - - - - ranking = 2keywords = anaesthesia (Clic here for more details about this article) |
3/3. Tracheocele: a rare cause of difficult endotracheal intubation and subsequent pneumomediastinum.A case is described in which accidental perforation of a tracheocele caused by endotracheal intubation resulted in a postoperative pneumomediastinum. The tracheocele, an extremely rare finding in clinical anaesthesia, was confirmed radiologically and for the first time demonstrated by computed tomography.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |