caa a22 4500 606246916 CHVBK 20210128101342.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0975-4 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0975-4 Classification and Management of Subcutaneous Emphysema: a 10-Year Experience [Elektronische Daten] [Manouchehr Aghajanzadeh, Anosh Dehnadi, Hannan Ebrahimi, Morteza Fallah Karkan, Sina Khajeh Jahromi, Alireza Amir Maafi, Gilda Aghajanzadeh] Subcutaneous emphysema (SE) is a condition often causing minimal symptoms, but sometimes it can be severe and even life-threatening. This study is the first great survey about SE. The aim of this study is to classify and evaluate the etiology, signs, symptoms, and management of SE. This retrospective study was performed by reviewing patients who had been diagnosed as having SE in Rasht, between January 2001 and January 2011. We classified the severity of SE in five grades including the (1) base of the neck, (2) all of the neck area, (3) subpectoralis major area, (4) chest wall and all of the neck area, and (5) chest wall, neck, orbit, scalp, abdominal wall, upper limbs, and scrotum. We excluded all patients in grades 1 and 2, because the symptoms and signs were not significant. Statistical analysis was carried out with SPSS 18. We collected 35 cases of SE with the mean age of 53 ± 14.83 (71% men). The most common cause of SE was pneumothorax with background of COPD and surgery in grade 5, trauma due to rib fracture in grade 4, and iatrogenicity in grade 3. We performed two bilateral 2-cm infraclavicular incisions. In our patients with infraclavicular incisions, expansion of the lung was better, and the patients' appearance improved. Infraclavicular incisions as a simple method for the management of SE can decrease the severity of SE with no cosmetic problem. Association of Surgeons of India, 2013 Subcutaneous emphysema nationallicence Classification nationallicence Management nationallicence Infraclavicular incisions nationallicence SE : Subcutaneous emphysema nationallicence Aghajanzadeh Manouchehr Department of Thoracic Surgery, Respiratory Diseases & TB Research Center, Guilan University Medical Sciences (GUMS), Rasht, Iran aut Dehnadi Anosh Department of Anesthesiology, Respiratory Diseases & TB Research Center, Guilan University Medical Sciences (GUMS), Rasht, Iran aut Ebrahimi Hannan Student Research Committee, Respiratory Diseases & TB Research Center, Guilan University Medical Science (GUMS), Rasht, Iran aut Fallah Karkan Morteza Student Research Committee, Respiratory Diseases & TB Research Center, Guilan University Medical Science (GUMS), Rasht, Iran aut Khajeh Jahromi Sina Student Research Committee, Respiratory Diseases & TB Research Center, Guilan University Medical Science (GUMS), Rasht, Iran aut Amir Maafi Alireza Student Research Committee, Respiratory Diseases & TB Research Center, Guilan University Medical Science (GUMS), Rasht, Iran aut Aghajanzadeh Gilda Respiratory Diseases & TB Research Center, Guilan University Medical Science (GUMS), Rasht, Iran aut Indian Journal of Surgery Springer India 77(2015-12-01), 673-677 0972-2068 77<673 2015 77 12262 https://doi.org/10.1007/s12262-013-0975-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0975-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Aghajanzadeh Manouchehr Department of Thoracic Surgery, Respiratory Diseases & TB Research Center, Guilan University Medical Sciences (GUMS), Rasht, Iran aut NATIONALLICENCE 700 1- Dehnadi Anosh Department of Anesthesiology, Respiratory Diseases & TB Research Center, Guilan University Medical Sciences (GUMS), Rasht, Iran aut NATIONALLICENCE 700 1- Ebrahimi Hannan Student Research Committee, Respiratory Diseases & TB Research Center, Guilan University Medical Science (GUMS), Rasht, Iran aut NATIONALLICENCE 700 1- Fallah Karkan Morteza Student Research Committee, Respiratory Diseases & TB Research Center, Guilan University Medical Science (GUMS), Rasht, Iran aut NATIONALLICENCE 700 1- Khajeh Jahromi Sina Student Research Committee, Respiratory Diseases & TB Research Center, Guilan University Medical Science (GUMS), Rasht, Iran aut NATIONALLICENCE 700 1- Amir Maafi Alireza Student Research Committee, Respiratory Diseases & TB Research Center, Guilan University Medical Science (GUMS), Rasht, Iran aut NATIONALLICENCE 700 1- Aghajanzadeh Gilda Respiratory Diseases & TB Research Center, Guilan University Medical Science (GUMS), Rasht, Iran aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 673-677 0972-2068 77<673 2015 77 12262