search for


Pharyngeal reperforation following incentive spirometry - A case report -
Anesth Pain Med 2018;13(4):463-7
Published online October 31, 2018
© 2018 Korean Society of Neuroscience in Anesthesiology and Critical Care.

Soeun Jeon, Jeong-Min Hong , Jae-Young Kwon, Boo Young Hwang, and Giyoung Yun
Department of Anesthesia and Pain Medicine, Pusan National University Hospital, Busan, Korea
Correspondence to: Jeong-Min Hong, M.D., Ph.D.
Department of Anesthesia and Pain Medicine, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea
Tel: 82-51-240-7399
Fax: 82-51-242-7466
Received January 26, 2018; Revised March 20, 2018; Accepted April 9, 2018.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Despite its widespread use, complication of incentive spirometry has been rarely reported. We report a case of pharyngeal reperforation following incentive spirometry. A 75-year-old female, had a history of long-term steroid use, entered the intensive care unit for maintenance of mechanical ventilation following surgical repair of a pharyngeal perforation. After ventilator weaning, incentive spirometry was implemented on postoperative day 4. Immediately after incentive spirometry use, patient’s neck began to swell, and subcutaneous emphysema was palpated. Pharyngeal reperforation was suspected on neck computed tomography, and emergency surgery was performed. Surgery revealed a 3-cm long rupture from the hypopharynx to the esophagus. The causes were thought to be delayed wound healing due to long-term steroid use and a sudden increase in pharyngeal pressure due to incentive spirometry. In conclusion, particular attention should be paid when using incentive spirometry after head and neck surgery in patients with a history of long-term steroid use.
Key Words : Head and neck surgery; Incentive spirometer; Incentive spirometry; Pharyngeal perforation; Steroids.

October 2018, 13 (4)
Full Text(PDF) Free

Social Network Service

Cited By Articles
  • CrossRef (0)

Funding Information