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Int. J. Pediatr. Otorhinolaryngol. · Oct 2017
Case ReportsThe implications of pneumomediastinum and subcutaneous emphysema for the paediatric otolaryngologist.
- Chloe Swords, Neil Cheng-Wen Tan, and Nico Jonas.
- Department of Paediatric Otolaryngology, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
- Int. J. Pediatr. Otorhinolaryngol. 2017 Oct 1; 101: 241-245.
AbstractThree patients presented within a 6-month period with pneumomediastinum. The underlying cause in each was distinct. One case occurred due to blunt laryngeal trauma and required urgent surgical intervention due to a decompensating airway. The second case was related to tracheal perforation secondary to a myofibroblastic tracheal tumour and the final case was related to adenovirus upper respiratory tract infection. Pneumomediastinum may be spontaneous or secondary to an underlying cause. Children should be managed using a multidisciplinary approach. Investigation and management should be influenced by clinical stability and invasive procedures should only be considered in patients who exhibit respiratory distress.Crown Copyright © 2017. Published by Elsevier B.V. All rights reserved.
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