Spontaneous Cervical and Mediastinal Emphysema in Asthma

Harley, Earl H.

doi:10.1001/archotol.1987.01860100089030

Cited by 20 publications

(3 citation statements)

References 7 publications

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“…The common clinical presentation is with dyspnoea and substernal chest pain. Dysphagia, sore throat, muffled voice and neck swelling have also been described (Harley, 1987). Physical findings usually include subcutaneous emphysema, Hamman's sign (a precordial 'crunching' sound) (Hamman, 1939) and neck swelling, but none of these need to be present.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous pneumomediastinum with alteration in voice

Sleeman

Turner

1989

J. Laryngol. Otol.

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Section: Discussionmentioning

confidence: 99%

Spontaneous pneumomediastinum with alteration in voice

Sleeman

Turner

1989

J. Laryngol. Otol.

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“…The development of cervical emphysema has multiple recognized associations (Table ) . Although there are several reported cases resulting from diving, the authors are unaware of any previously published cases resulting from swimming.…”

Section: Aetiology Of Cervical Emphysemamentioning

confidence: 99%

Unusual case of spontaneous cervical emphysema

Lowrie

Smith

Low

2014

ANZ Journal of Surgery

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A normally fit and healthy 17-year-old competitive swimmer presented to the emergency department with a sore throat, odynophagia and dysphonia the day after a routine training session. He was able to eat and drink but the pain kept him awake at night. There was no history of pulmonary disease, trauma or significant exertion during his training.Clinical examination of the neck revealed cutaneous crepitus on palpation, and surgical emphysema involving the subcutaneous tissues of the neck was confirmed on AP/lateral neck X-ray ( Fig. 1). Chest X-ray revealed only a tiny left apical pneumothorax, with no evidence of pneumomediastinum or surgical emphysema of the chest wall.The patient had no stridor or breathing difficulty and his vital signs were normal. Fibre-optic laryngoscopy was unremarkable and he was managed conservatively with analgesia and avoidance of physical exertion. Over the next two days, his symptoms abated, and when he was reviewed in the head and neck clinic, he had complete resolution of the surgical emphysema both clinically and on a repeat AP neck X-ray.The development of cervical emphysema has multiple recognized associations (Table 1). [1][2][3][4][5][6] Although there are several reported cases resulting from diving, the authors are unaware of any previously published cases resulting from swimming.

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“…36 Many causes of CSE, retropharyn¬ geal emphysema, and pneumomedias¬ tinum exist. In the case presented, a laceration in the patient's posterior pharyngeal wall was the presumptive portal of entry of air into the interstitium of his face, neck, and thorax.…”

Section: Commentmentioning

confidence: 99%