Pediatric Neck Trauma Causing Massive Subcutaneous Emphysema

Marathe, Umesh S; Tran, LenhAnh P.

doi:10.1097/01.ta.0000229909.39338.ce

Cited by 11 publications

(17 citation statements)

References 4 publications

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“…3,9 Causes of spontaneous pneumomediastinum include infectious processes such as bronchitis or viral pneumonia and valsalva maneuvers, such as coughing, screaming, or deep breathing. 10,11 Other causes include diabetic ketoacidosis, esophageal rupture, 12 and foreign body inhalation.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] Another case of rare, recurrent cholesterol granuloma is reported and the treatment considerations discussed. Prior to the study, approval from the Institutional Review Board at Asan Medical Center was obtained.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6] MRI has facilitated the preoperative diagnosis of cholesterol granuloma because of its typical findings. On T1-and T2-weighted images, it is seen as a nonenhancing lesion with high signal intensity due to its high lipid cholesterol content, and it does not have sclerotic margins.…”

Section: Discussionmentioning

confidence: 99%

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Eyelid Swelling, an Unusual Presentation of Pneumomediastinum

Hwang

Rezaei²,

Melson³

2014

Ophthalmic Plastic &Amp; Reconstructive Surgery

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An 11-year-old girl with no significant medical or ocular history presented to the emergency department with asymmetrical eyelid swelling for 2 days. She was noted to have eyelid crepitus on examination. The patient reported a prolonged episode of crying followed by chest pain and dyspnea that resolved prior to her presentation. Both face and chest CT showed extensive air tracking in the subcutaneous tissues of the neck and face and pneumomediastinum without pneumothorax. The patient was discharged home without further intervention. On follow-up 1 to 2 weeks later, she had complete resolution of her symptoms. While pneumomediastinum is extremely rare in the pediatric population, it can be considered in the differential diagnoses of eyelid swelling and crepitus in the appropriate context. To this author's knowledge, this is the first pediatric case of pneumomediastinum with an initial presentation of eyelid swelling.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Eyelid Swelling, an Unusual Presentation of Pneumomediastinum

Hwang

Rezaei²,

Melson³

2014

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…In the modern setting, it possible to obtain high-resolution computed tomographic images that can assist in the precise localization of the injury [4]. It is worth noting, however, that it is essential to rule out concomitant esophageal injury with a water-soluble contrast study [5]; if operative exploration is performed for a tracheal injury, it is also beneficial to mobilize the esophagus.…”

Section: Commentmentioning

confidence: 99%

“…Immediate tracheostomy is certainly appropriate for management of tracheal transaction and near transection because it may be impossible to intubate these children via the oral route even in experienced hands using advanced techniques. However, orotracheal intubation with surgical availability in the event that tracheostomy is required is likely appropriate for lesions of lesser severity [4].…”

Section: Commentmentioning

confidence: 99%