Subcutaneous Emphysema Induced by Supplementary Oxygen Delivery Nasopharyngeal Cannula. Case Report

Gasparini, Juliano Rodrigues; Ferreira, Luciano Costa; Rangel, Victor Hugo Mariath

doi:10.1016/s0034-7094(10)70068-4

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…In our case, the temporary interruption of CPAP use lasted for 8 days to secure soft callus formation in fracture line. The measure of manual “milking” of the entrapped air toward an exit point (tracheostomy, laceration, or paranasal cavity) is recommended without harmful consequences 33…”

Section: Discussionmentioning

confidence: 99%

“…The measure of manual "milking" of the entrapped air toward an exit point (tracheostomy, laceration, or paranasal cavity) is recommended without harmful consequences. 33 PM might lead to life-threatening complications such as pneumothorax, pneumopericardium, cardiac tamponade, and mediastinitis. 34 Additionally, a retropharyngeal emphysema may impede airway patency.…”

Section: Discussionmentioning

confidence: 99%

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Acute Hyponasality (Closed Rhinolalia) and Craniomaxillofacial Fracture Suggest the Coexistence of Retropharyngeal Emphysema and Pneumomediastinum

Papadiochos

Sarivalasis

Papadogeorgakis

2019

Craniomaxillofacial Trauma & Reconstruction

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Pneumomediastinum (PM) implies an abnormal condition where a collection of free air or gas is entrapped within the fascial planes of mediastinal cavity. It is considered as benign entity, but an uncommonly seen complication of craniofacial injuries. We report a case of a 63-year-old male patient with the presenting sign of closed rhinolalia who was diagnosed with retropharyngeal emphysema and PM due to a linear and nondisplaced fracture of midface. The patient cited multiple efforts of intense nasal blowing shortly after a facial injury by virtue of a motorcycle accident. He was admitted in our clinic for closer observation and further treatment. The use of a face mask for continuous positive airway pressure was temporarily interrupted, and high concentrations of oxygen were delivered via non-rebreather mask. Patient's course was uncomplicated and he was discharged few days later, with almost complete resolution of cervicofacial emphysema and absence of residual PM in follow-up imaging tests. Closed rhinolalia (or any acute alteration of voice) in maxillofacial trauma patients should be recognized, assessed, and considered within the algorithm for PM and retropharyngeal emphysema diagnosis and management. For every single case of cervicofacial emphysema secondary to facial injury, clinicians should maintain suspicion for retropharyngeal emphysema or PM development.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acute Hyponasality (Closed Rhinolalia) and Craniomaxillofacial Fracture Suggest the Coexistence of Retropharyngeal Emphysema and Pneumomediastinum

Papadiochos

Sarivalasis

Papadogeorgakis

2019

Craniomaxillofacial Trauma & Reconstruction

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

Makrides

Lawton

2017

The Journal of Emergency Medicine

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Subcutaneous Emphysema Induced by Supplementary Oxygen Delivery Nasopharyngeal Cannula. Case Report

Abstract: Although rare, subcutaneous emphysema can have serious repercussions. Manual lymphatic drainage can be an option for the treatment of this aesthetical complication.

Cited by 2 publications

References 15 publications

Acute Hyponasality (Closed Rhinolalia) and Craniomaxillofacial Fracture Suggest the Coexistence of Retropharyngeal Emphysema and Pneumomediastinum

Acute Hyponasality (Closed Rhinolalia) and Craniomaxillofacial Fracture Suggest the Coexistence of Retropharyngeal Emphysema and Pneumomediastinum

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

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