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[Spontaneous cervical emphysema: a case report].

C Bodenez¹, Th Houliat, S Lacher Fougère

¹CHU Pellegrin, Tripode, Clinique ORL, Place A. Raba Léon, F-33076 Bordeaux, France. camille.bodenez@wanadoo.fr

Revue De Laryngologie - Otologie - Rhinologie

|January 17, 2004

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Spontaneous cervical subcutaneous emphysema, a rare condition, can lead to pneumomediastinum due to cricothyroid membrane rupture. This case report explores its potential congenital causes and management.

Area of Science:

Medicine
Radiology
Embryology

Background:

Spontaneous cervical subcutaneous emphysema is rare, unlike emphysema secondary to trauma or infection.
Pneumomediastinum is an uncommon but serious complication of cervical emphysema.

Observation:

A case report details a young woman with spontaneous cervical subcutaneous emphysema and pneumomediastinum.
Radiological investigations, including CT scan, revealed a ruptured cricothyroid membrane as the air source.

Findings:

The air tracked from the ruptured cricothyroid membrane through fascial planes to the neck and mediastinum.
An embryological hypothesis suggests congenital fragility of the cricothyroid membrane may predispose to spontaneous rupture.

Implications:

Related Experiment Videos

Understanding the pathogenesis of spontaneous cervical emphysema is crucial for diagnosis and management.
Radiological and surgical interventions are key for etiological diagnosis and treatment of this condition.