Massive Subcutaneous Emphysema after Hydrogen Peroxide Irrigation of a Penetrating Facial Injury

Laryngoscope. 2024 Jun;134(6):2954-2957. doi: 10.1002/lary.31237. Epub 2023 Dec 27.

Abstract

We present the case of a child impaled in the face by a meat thermometer who subsequently suffered a significant complication due to the administration of hydrogen peroxide to the wound. The soft tissues of the face rapidly expanded and blanched, the child experienced mental status changes, and imaging revealed massive subcutaneous emphysema, pneumomediastinum, and pneumo-orbit. Herein we review the literature on this rare complication and provide photodocumentation in the hopes that other practitioners, patients, and parents avoid administering hydrogen peroxide into or near any penetrating injury. Laryngoscope, 134:2954-2957, 2024.

Keywords: pediatrics; radiology; trauma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Facial Injuries*
  • Humans
  • Hydrogen Peroxide* / administration & dosage
  • Hydrogen Peroxide* / adverse effects
  • Male
  • Subcutaneous Emphysema* / chemically induced
  • Subcutaneous Emphysema* / etiology
  • Therapeutic Irrigation* / adverse effects
  • Therapeutic Irrigation* / methods
  • Wounds, Penetrating* / etiology

Substances

  • Hydrogen Peroxide