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Postgraduate Medical Journal 1999;75:548-550; doi:10.1136/pgmj.75.887.548
Copyright © 1999 The Fellowship of Postgraduate Medicine.
Postgrad Med J 1999;75:548-550 ( September )

Short report

Surgical emphysema and pneumomediastinum in a child following minor blunt injury to the neck G W Back, G Banfield

Department of Otolaryngology, St George's Hospital, Blackshaw Road, London SW17 0QT, UK

Correspondence to: Mr G Banfield

Accepted 9 February 1999

Largyngotracheal 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.


Keywords: blunt injury; neck; emphysema; pneumomediastinum


© 1999 by The Fellowship of Postgraduate Medicine

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This article has been cited by other articles:

  • Smith, D, Woolley, S (2006). Hypopharyngeal perforation following minor trauma: a case report and literature review. Emerg. Med. J. 23: e07-e07 [Abstract] [Full Text]  

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