• J Emerg Med · Mar 2017

    Review Case Reports

    Don't Blow It! Extensive Subcutaneous Emphysema of the Neck Caused by Isolated Facial Injuries: A Case Report and Review of the Literature.

    • Hannah Makrides and Luke D Lawton.
    • Department of Emergency Medicine, The Townsville Hospital, Douglas, Australia.
    • J Emerg Med. 2017 Mar 1; 52 (3): e57-e59.

    BackgroundAlthough subcutaneous emphysema resulting from maxillofacial surgery is well described in the literature, the association with maxillofacial trauma is less firm. Clinically evident subcutaneous emphysema from facial injury is uncommon and extension into the cervical and mediastinal tissues is exceedingly rare, with few reported cases.Case ReportAn unusual case of extensive subcutaneous emphysema after facial trauma is presented. The case posed a diagnostic dilemma in our emergency department. WHY SHOULD EMERGENCY PHYSICIANS BE AWARE OF THIS?: Facial fractures are a rare but important cause of surgical emphysema. Emergency physicians need to be aware of the diagnostic possibility and the need to avoid factors that may precipitate secondary injury.Crown Copyright © 2016. Published by Elsevier Inc. All rights reserved.

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