Facial, Cervical, and Mediastinal Emphysema of the Clarinet Player: Case Report

Biçer, Yusuf; Kesgin, Selcan; Tezcan, Erkan; Koybasi, Serap

doi:10.5152/balkanmedj.2014.14272

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…In addition, the selected publications contained 61 patients (Table 1). 4–61 One of the selected articles comprised one which was among the 3 aforementioned identified patients of our retrospective search. The overwhelming majority of them were males (87.1%, n = 56) with mean age 34.9 years (median 34.5; 2 months-82 years).…”

Section: Resultsmentioning

confidence: 99%

Pneumomediastinum as a Complication of Oral and Maxillofacial Injuries: Report of 3 Cases and a 50-Year Systematic Review of Case Reports

Papadiochos

Sarivalasis

Chen

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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Objectives: Pneumomediastinum (PM) secondary to oromaxillofacial trauma (OMF) is a rare but well-described complication/pathologic finding. The aim of this study was twofold: first, to report our experience in treatment of maxillofacial trauma patients with PM, and second, to review the literature regarding the clinical features, severity, course, and management of the aforementioned complication. Material and methods: We retrospectively reviewed the medical records and charts of patients who suffered from maxillofacial trauma and treated in our hospital between September 1, 2013 and September 31, 2017. The inclusion criteria were patients with radiologically confirmed PM. In addition, the electronic databases PubMed, Scopus, and Science Direct were queried for articles reporting PM cases secondary to OMF injuries and published in English, French, and German language. Results: Three cases of PM out of 3,514 cases of craniomaxillofacial trauma were found; there were 3 male patients who presented in our emergency department with the chief complaint of cervicofacial swelling. Literature search isolated 58 selected articles and 63 cases were assessed in total; posttraumatic repeated blowing of nose was proved as most frequent triggering factor among them. Furthermore, the outcomes of review showed that thoracic pain, respiratory distress, and swallowing difficulties were not frequently reported in patients with ME due to facial trauma. Conclusions: Both our experience and the results of systematic literature review indicated that patients with PM due to OMF injuries present mild clinical course. If properly managed, this specific pathologic condition may have no further complications or relative comorbidities. The exact etiology and mechanism of PM in the context of maxillofacial injuries always needs to be identified. Radiographic, laboratory, and endoscopic examinations should be applied to rule out the more serious and frequently diagnosed aerodigestive, thoracic, and abdominal causes of PM.

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Section: Resultsmentioning

confidence: 99%

Pneumomediastinum as a Complication of Oral and Maxillofacial Injuries: Report of 3 Cases and a 50-Year Systematic Review of Case Reports

Papadiochos

Sarivalasis

Chen

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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“…An unusual origin of facial emphysema and even pneumomediastinum is the so-called pneumoparotitis. In this case, a primary alteration of Stensen's duct combined with oral cavity pressure rising could produce parotid gland inflation and acinar epithelium rupture with consequent facial emphysema [11]. The mediastinum shows superior connection with the sublingual and submandibular spaces, with the retroand parapharyngeal spaces and with the neck vessel sheaths.…”

Section: Discussionmentioning

confidence: 97%

Blunt maxillary fracture and cheek bite: two rare causes of traumatic pneumomediastinum

Procacci

Zanette

Nocini

2015

Oral Maxillofac Surg

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Subcutaneous facial emphysema is a well-known consequence of oral and maxillofacial traumatic injury. In some rare cases, the subcutaneous air collection could spread through the retropharyngeal and paralatero-cervical spaces, reaching the mediastinum. This clinical entity is known as pneumomediastinum and represents a severe and, sometimes, life-threatening condition. Other reported causes of pneumomediastinum are esophageal and tracheal traumatic or iatrogenic rupture. Finally, the so-called spontaneous pneumomediastinum is caused by a sudden increase in alveolar pressure and is usually seen in young men. We present two cases of pneumomediastinum as a consequence of unusual traumatic damage of orofacial tissues, followed by repeated sneezing and Valsalva maneuver.

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“…However, the air dissecting up into the cervical tissues and fascial layers is well understood and complicated with mediastinal emphysema and pneumothorax. 5 …”

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confidence: 99%