Dysphonia: an unusual presentation of spontaneous pneumomediastinum

Spontaneous pneumomediastinum, an unusual entity in children, is rarely associated with dysphonia. Muffling of the voice is more commonly associated with such pediatric illnesses as retropharyngeal or peritonsillar abscesses and epiglottitis. We report a 14-year-old female with spontaneous pneumomediastinum who presented to the emergency department with dysphonia as the primary complaint. Pneumomediastinum should be included in the differential diagnosis of dysphonia.