Spontaneous pneumomediastinum after sneezing

Dechambre, S; d'Odémont, Jean Pol; Cornelis, Jean Philippe; J, Fastrez

doi:10.1016/0003-4975(95)00553-w

Cited by 15 publications

(8 citation statements)

References 7 publications

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“…In a review of the literature, SPM had been associated with activities that result in the Valsalva maneuver such as childbirth, 6 forceful straining during exercise, straining at stool, coughing, sneezing, 7 retching, or vomiting. 8 There have also been reports of significant barotrauma resulting in subcutaneous emphysema and SPM that followed pulmonary function testing 9 and inflation of party balloons.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumomediastinum

Newcomb

Clarke

2005

Chest

193

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Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumomediastinum

Newcomb

Clarke

2005

Chest

193

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“…[567] Though uncommon, SPM has also been identified in situations such as childbirth,[11] forceful straining during exercise, straining at passing stool, coughing and sneezing. [12]…”

Section: Features Of Presentationmentioning

confidence: 99%

Spontaneous pneumomediastinum: Time for consensus

et al. 2013

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Pneumomediastinum (PM) is defined as the presence of free air in the mediastinal cavity. It is often regarded as a revealing sign of a more serious medical condition. PM is broken down into two categories, one, with an instigating event, referred to as secondary PM. The other is when free air is discovered in the mediastinal cavity without a clear etiology, referred to as spontaneous pneumomediastinum (SPM). Often misdiagnosed due to the vague nature of presenting symptoms, SPM must be part of the differential diagnosis of a chest pain patient to expedite discovery and if necessary, management. A MedLine/PubMED search was performed identifying all relevant articles with “SPM” in the title. Six case series were reviewed to determine what clinical scenario constitutes a possible case of SPM. Results showed that almost all patients with SPM exhibited some chest pain, but Hamman’s crunch was present in only one-fifth of patients. Patients with certain pre-existing pulmonary diseases showed a greater propensity for the presence of free air in the mediastinal cavity. SPM must be diagnosed and managed promptly due to rare, but serious complications and any chest pain with an unknown etiology should contain SPM in the differential diagnosis.

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“…The sites of injury were classified according to anatomical location: ocular/orbital [3][4][5][6][7][8][9][10][11][12][13][14][15] (27%), intrathoracic [16][17][18][19][20][21][22][23][24][25][26][27][28] (25%), intercranial/neurological 29-38 (19%), laryngeal/pharyngeal [39][40][41][42][43][44][45] (13%), otologic [46][47][48] (6%), and other [49][50][51][52][53] (10%) ( Figure 1). There were 15 cases orbital/ocular injury: orbital subcutaneous emphysema [3][4][5][6][7]10,11,…”

Section: Resultsmentioning

confidence: 99%

“…Cases of intrathoracic injury precipitated by a sneeze included pneumomediastinum 18,20,22,26 4, rib fracture 24,28 (2), diaphragmatic tear 24,25 (2), thoracic lung herniation 16,21 (2), pneumothorax 19 (1), basal pleural effusion 23 (1), and cervico-mediastinal hematoma 27 (1). Forty-six percent of thoracic injuries occurred in patients who had a known lung disorder, and 82% of thoracic injuries were reported in male patients.…”

Section: Resultsmentioning

confidence: 99%

The Dangers of Sneezing: A Review of Injuries

Setzen

Platt

2019

Am J Rhinol�Allergy

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Background Sneezing is an almost universal daily phenomenon as a reflex to evacuate irritants from the nasal cavities. An autonomic-controlled buildup of intrathoracic pressure against a closed glottis followed by sudden release results in a burst of 1 kPa of air through the upper airway. Active intervention to limit a sneeze can be deleterious. Closure of the airway during a sneeze can result in over 20 times the airway pressures resulting in a variety of untoward events. This review summarizes all reported injuries that occurred as the result of a sneeze. Objective The objective of this review is to summarize the risks of closed-airway sneezing and determine if there are any trends which can help understand such injuries. Methods A comprehensive literature review was performed from 1948 to 2018 to identify all reports of sneeze-related injuries. Information was compiled from reports to gain insights into comorbidities and risk factors for sneeze injuries. Results There were 52 unique reports of sneeze-related injuries in the literature that were categorized into 6 areas of injury: intrathoracic, laryngeal/pharyngeal, ocular/orbital, intracranial/neurological, otologic, and other. The mean age of subjects who suffered a sneeze injury was 40 years old (range: 15–84 years), with 81% being male gender. Thirty percent had a risk factor for injury of prior trauma (5) or respiratory compromise (5). Conclusion A variety of injuries can occur during a sneeze, especially when a closed-airway sneeze is attempted, and high Valsalva pressure is transmitted to the other systems. Men are more at risk for these injuries with the majority occurring in patients with no known risk factor. When triggered, a sneeze should be allowed to proceed without intervention to prevent associated injuries.

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Spontaneous pneumomediastinum after sneezing

Cited by 15 publications

References 7 publications

Spontaneous Pneumomediastinum

Spontaneous Pneumomediastinum

Spontaneous pneumomediastinum: Time for consensus

The Dangers of Sneezing: A Review of Injuries

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