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Laryngotracheal trauma-induced Macklin effect: A case report
Nadia Romdhane1,2, Dorra Chiboub1,2, Ameni Amri1,2
1Ears Nose and Throat, Head and Neck Surgery Department, Habib Thameur Hospital, Tunis, Tunisia.
SAGE Open Medical Case Reports
|July 24, 2024
Summary
Blunt neck trauma can cause pneumomediastinum, a rare condition where air enters the chest cavity. This case highlights conservative management for subcutaneous emphysema and pneumomediastinum following neck injury.
Area of Science:
- Traumatology
- Thoracic Surgery
Background:
- Laryngotracheal trauma is uncommon, often affecting young males, with strangulation a frequent cause.
- Pneumomediastinum, a rare complication of blunt neck trauma, results from alveolar rupture (Macklin effect).
Observation:
- A 21-year-old male presented with blunt neck trauma.
- Clinical examination and imaging confirmed subcutaneous neck emphysema and pneumomediastinum.
Findings:
- The patient's condition, characterized by subcutaneous emphysema and pneumomediastinum, was successfully managed conservatively.
- Complete resolution of injuries was achieved, with the patient discharged after two weeks.
Implications:
- Early diagnosis of pneumomediastinum in blunt neck trauma is crucial.
- Conservative management can be effective for selected cases of blunt neck trauma with pneumomediastinum.
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