Case Report
 
Deep cervicofacial emphysema and pneumomediastinum due to penetrant oral trauma
Hande Ezerarslan1, Gökçe Kaan Ataç2, Tevfik Kaplan3, Güçlü Kaan Beriat4
1MD, Ufuk University Medical School, Department of Otorhinolaryngology, Balgat, Ankara, Turkey.
2MD, Ass.Prof, Ufuk University Medical School, Department of Radiology, Balgat, Ankara, Turkey.
3MD, Ass.Prof, Ufuk University Medical School, Department of Thoracic Surgery, Balgat, Ankara, Turkey.
3MD, Ass.Prof, Ufuk University Medical School, Department of Otorhinolaryngology, Balgat, Ankara, Turkey

doi:10.5348/ijcri-2014-01-440-CR-13

Address correspondence to:
Dr. Hande Ezerarslan
Ufuk University Medical School
Department of Otorhinolaryngology
Balgat 06520, Ankara
Turkey
Phone: +90 3122044175
Fax: +90 3122044175
Email: handearslan5@yahoo.com

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How to cite this article
Ezerarslan H, Ataç GK, Kaplan T, Beriat GK. Deep cervicofacial emphysema and pneumomediastinum due to penetrant oral trauma. International Journal of Case Reports and Images 2014;(1):58–61.


Abstract
Introduction: Pneumomediastinum following deep cervicofacial emphysema due to oral trauma is rare. We present a case with an unusual oral trauma and diagnosis and management of complications of injury.
Case Report: A 26-year-old female presented with difficulty in breathing and painful swallowing after an unusual oropharyngeal trauma. Computed tomography scans revealed deep cervical emphysema and pneumomediastinum. The laceration in oropharynx repaired and board spectrum antibiotherapy started and the patient had an uneventful recovery.
Conclusion: Our case is unusual because of the rarity of these complications after oropharyngeal trauma and if pneumomediastinum is misdiagnosed, life-threatening complications may occur. Also conservative treatment in deep cervical emphysema and pneumomediastinum without any life-threatening complication is favorable.

Keywords: Oropharynx, Subcutaneous emphysema, Pneumomediastinum, Trauma


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Author Contributions
Hande Ezerarslan – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gökçe Kaan Ataç – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Tevfik Kaplan – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Güçlü Kaan Beriat – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Hande Ezerarslan et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)



About The Authors

Hande Ezerarslan is specialist at Department of ENT, University of Ufuk School of Medicine. Her area of interest include head and neck surgery and laryngology.