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[Spontaneous cervical and mediastinal emphysema]

J I Benito1, M Marcos, D Morais

  • 1Servicio de ORL, Hospital Universitario, Valladolid.

Acta Otorrinolaringologica Espanola
|March 1, 1995
PubMed
Summary

Cervical emphysema can spread from the neck to the chest due to connected fascial planes. Understanding the cause is crucial for otolaryngologists to determine the correct treatment for this condition.

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Area of Science:

  • Medicine
  • Otolaryngology
  • Radiology

Background:

  • Cervical emphysema involves aberrant air in the neck.
  • Fascial planes connect the neck, mediastinum, and retroperitoneum, allowing air to spread.
  • Accurate diagnosis is essential for appropriate treatment.

Observation:

  • Two clinical cases of cervical emphysema secondary to spontaneous pneumomediastinum are presented.
  • One case was idiopathic, while the other was associated with diabetic ketoacidosis.

Findings:

  • Aberrant air in the neck can originate from or spread to the mediastinum and retroperitoneum.
  • Spontaneous pneumomediastinum is a significant cause of cervical emphysema, with idiopathic and diabetic ketoacidosis-associated instances observed.

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Implications:

  • Otolaryngologists must consider a broad differential diagnosis for cervical emphysema.
  • Accurate etiological diagnosis is essential for guiding appropriate and effective treatment strategies in patients with cervical emphysema.