• Mund Kiefer Gesichtschir · Dec 2007

    Case Reports

    [Severe upper airway obstruction due to retropharyngeal haematoma formation following cervical trauma].

    • Stephan Haarmann, Andi Setiawan Budihardja, Thomas Mücke, Christian Schwaegerl, and Klaus Dietrich Wolff.
    • Ruhr Universität Bochum, Universitätsklinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Knappschaftskrankenhaus Bochum Langendreer, ,In der Schornau 23-25, 44892 Bochum, Germany.
    • Mund Kiefer Gesichtschir. 2007 Dec 1;11(6):363-7.

    AbstractMechanical airway obstruction secondary to retropharyngeal bleeding is rare. In most cases such a complication is described after head and neck trauma. Complicating factors include anticoagulant therapy, tumour, aneurysm, infection or major cervical spine injury. A precise initial diagnosis is necessary to avoid a life-threatening situation. Lateral X-ray and computed tomography is essential for safe management.Treatment depends upon size of the haematoma as well as the clinical course of the patient. Smaller haematomas may be observed. Lager haematomas and those that fail to reabsorb should undergo drainage.

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