Acute upper airway obstruction

Mackenzie, J. W.; Jellicoe, Jillian A.

doi:10.1111/j.1365-2044.1986.tb12705.x

Cited by 25 publications

(4 citation statements)

References 7 publications

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“…Five could be classified as spontaneous retropharyngeal haematoma. On reviewing recent literature there are two subsequent reports of retropharyngeal haematoma, one following blunt trauma to the neck requiring tracheostomy (Irvine, 1984), and the second in a patient with polycythemia rubra vera in which intubation was necessary to maintain an airway (Mackenzie and Jellicoe, 1986). Death in this case was due to a ruptured spleen.…”

Section: Discussionmentioning

confidence: 81%

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Retropharyngeal haematoma: a diagnosis for concern?

Dingle¹,

Clifford²,

Flood³

1993

J. Laryngol. Otol.

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Section: Discussionmentioning

confidence: 81%

“…Retropharyngeal haematomata are rare. They have been described secondary to cervical injury (Irvine, 1984), in patients on anticoagulants (Owens et al, 1975), and in patients with polycythemia rubra vera (Mackenzie and Jellicoe, 1986). Spontaneous retropharyngeal haematomata are even more rare.…”

Section: Discussionmentioning

confidence: 99%

Retropharyngeal haematoma: a diagnosis for concern?

Dingle¹,

Clifford²,

Flood³

1993

J. Laryngol. Otol.

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“…Retropharyngeal hematoma (RH) is a potentially lifethreatening disease because the expanding hematoma may progress to completely obstruct the airway. RH has diverse etiologies, including anticoagulant use, hematologic illness, iatrogenic procedure, soft tissue infection, penetrating injury, and idiopathic [1][2][3][4][5][6][7][8]. Except in cases of spontaneous RH, the underlying conditions and preceding events usually remind healthcare workers that RH is the cause of a patient's respiratory symptoms.…”

Section: Introductionmentioning

confidence: 99%

Blunt Traumatic Retropharyngeal Hematoma with Respiratory Symptoms: A Systematic Review of Reported Cases

Tsao¹,

Hsu

Chen

2021

Emergency Medicine International

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Background. In patients with blunt trauma, particularly geriatric patients and those with minor trauma, an insidious retropharyngeal hematoma (RH) may deteriorate and have lethal consequences. We review the relevant literature to elucidate the clinical characteristics, treatment, complications, and outcomes of blunt traumatic RH with respiratory symptoms. Data Resources. We reviewed 57 case reports and added one case from our hospital for data analysis. A total of 68 cases were included in this review. Results. The ages of patients ranged from 13 to 94 years, and geriatric patients (age >66 years) constituted 61.2% of the reviewed patients. Falls (54.4%) and traffic accidents (35.3%) were the major trauma mechanisms. Most patients’ symptoms developed within 24 hours of blunt trauma (95.2%), and 73.5% of patients with RH had at least one associated injury. Many patients underwent conservative treatment for RH (63.2%). Surgical treatment (23.5%) and transarterial embolization (8.8%) were used to control retropharyngeal hemorrhage. Twelve patients died; RH and cervical spinal injury were the direct causes of death in 5 patients, whereas the other 7 patients died because of cardiac, pulmonary, or gastrointestinal causes or withdrawal of life support. Conclusions. Geriatric patients constituted the largest proportion of patients with RH, and minor trauma was adequate to result in RH in elderly people. The cornerstone of RH management is airway management. Surgery and transarterial embolization are commonly used to control active bleeding in patients with RH. The long-term outcome depends on patients’ associated injuries and in-hospital complications.

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“…R etropharyngeal hematoma )RH( is a potentially fatal condition where the airway is entirely blocked by the expanding hematoma. [1][2][3][4][5][6][7][8] It may be noticed in a variety of ways based on their size and rate of emergence. [9][10][11][12][13] The deep and medium layers of the cervical fascia are separated by the retropharyngeal space, which extends from the base of the skull to the superior mediastinum at the level of the second thoracic vertebra.…”

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confidence: 99%

Traumatic retropharyngeal hematoma

Alabdulqader,

Almudawi,

Alkhonezan

et al. 2024

SMJ

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Objectives: To study the mechanisms of injury, clinical manifestations, radiological findings, management, and outcomes of traumatic retropharyngeal hematoma (RH). Methods: We used the Preferred Reporting Items of Systematic Reviews guidelines to carry out a systematic literature review to identify all published cases of traumatic RH by searching the PubMed database. Articles published between 1988 and 2022 that reported traumatic RH were included. However, articles that reported non-traumatic RHs and non-English articles were excluded from this study. Results: Of the 62 articles screened, 56 were included. Most patients (55%) were above the mean age of 61.7. The majority of patients were male (69.7%). The main symptom was dyspnea (66.6%) and symptoms usually presented within 24 hours. Among the patients, 90.9% did not take anticoagulants or have coagulation disorders, and the main injury mechanism was falling (54.5%). Most of the computed tomography findings reported retropharyngeal (38%) and prevertebral (15%) hematoma. Meanwhile, magnetic resonance imaging revealed 2 masses in the retropharyngeal space and 2 RHs. With several treatment modalities, more than 50% of the cases were only observed (44 cases), and endotracheal intubation was the most commonly used airway management method (n=35). Conclusion: Traumatic RH is often caused by falls, particularly in elderly patients. Dyspnea is the primary symptom, usually appearing within 24 hours. Cervical vertebral fractures are the leading cause, and observation is the most common treatment approach. PROSPERO Reg. No.: CRD42022349010

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Acute upper airway obstruction

Cited by 25 publications

References 7 publications

Retropharyngeal haematoma: a diagnosis for concern?

Retropharyngeal haematoma: a diagnosis for concern?

Blunt Traumatic Retropharyngeal Hematoma with Respiratory Symptoms: A Systematic Review of Reported Cases

Traumatic retropharyngeal hematoma

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