• Postgrad Med J · Sep 1999

    Case Reports

    Surgical emphysema and pneumomediastinum in a child following minor blunt injury to the neck.

    • G W Back and G Banfield.
    • Department of Otolaryngology, St George's Hospital, London, UK.
    • Postgrad Med J. 1999 Sep 1;75(887):548-9.

    AbstractLargyngotracheal and pharyngoesophageal tears following minor blunt trauma to the neck are uncommon. A child with such an injury is reported and the modes of diagnosis and management are discussed. Patients may initially present with minimal signs and symptoms, but their condition may deteriorate rapidly or insidiously. In the absence of respiratory compromise, conservative management is appropriate, but all patients with significant blunt neck trauma should undergo early direct laryngoscopy under a general anaesthetic.

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