咽鼓管吹张术并发头颈部皮下气肿患者,临床上尚属少见。我科在1989年5月发现咽鼓管导管吹张术并发一侧颈、面及颞部皮下气肿1例。报告如下: 患者,男。因双耳闷、隐痛感7个月入院。局部检查:双鼓膜内陷,活动差;声阻抗示:双鼓室曲线“B”型,声反射未引出;纯音测听:双耳均有气、骨导间距30dB;鼓室穿刺抽出粘稠分泌物。诊断为分泌型中耳炎(双)。给以鼓室注药,咽鼓管吹张等综合治疗。5月27日行右侧咽鼓管吹张术时(导管法),患者初感仅有极微弱气体进入中耳,术者则用力吹张,此时患者虽感气体顺利进入中耳,但同时亦感有气体进入下颌角部,检查见右下颌角 Eustachian tube blows complicated by head and neck subcutaneous emphysema in patients with clinical is still rare. In May 1989, our department found that one case of eustachian tube ductal blow-out complicated with subcutaneous emphysema on the neck, face and the temporal side. The report is as follows: Patient, male. Because binaural stuffy, pain and pain for 7 months admitted to hospital. Local examination: double tympanic membrane invagination, poor activity; acoustic impedance showed: double drum chamber curve “B” type, acoustic reflex did not lead; pure tone audiometry: both ears have gas, bone conduction spacing 30dB; tympanic puncture out of thick discharge . Diagnosis of secretory otitis media (double). To the tympanic injection of drugs, Eustachian tube blowout and other comprehensive treatment. On May 27, right eustachian tube blowing operation (catheter method), the initial feeling of patients with only very weak gas into the middle ear, the surgeon was forced to blow Zhang, this time although the patient gas into the middle ear smoothly, but Also feel the gas into the mandibular angle, check the right mandibular angle