A rare case of severe postoperative retropharyngeal oedema due to lymphatic disruption following anterior cervical spine surgery

• Deepak Ganjigere Palaksha,*  
• Binesh Badyal,  
• Kavita Sandhu

Abstract

This case report discusses a 61-year-old male undergoing C5 corpectomy and fixation for a C5-6 prolapsed intervertebral disc under general anaesthesia. Postoperatively, he experienced respiratory distress characterized by tachycardia, tachypnoea, and decreased oxygen saturation, accompanied by changes in voice quality. Fibreoptic laryngoscopy revealed oedema in the posterior pharyngeal wall and upper airway, confirmed by radiograph and MRI. Retropharyngeal oedema above the surgical site was managed with intravenous hydrocortisone and elective ventilation, resulting in resolution over 72 hours. The case highlights the importance of recognizing and promptly managing retropharyngeal oedema to prevent airway compromise post-cervical spine surgery. Early intervention is crucial to avoid emergency airway procedures and minimize patient morbidity

Keywords

lymphatics, retro pharynx, oedema, spine, airway