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Spontaneous Retropharyngeal and Cervical Subcutaneous Emphysema in Adults
Mark S. Granich, MD;
Robert E. Klotz, MD;
Robert H. Lofgren, MD;
Rufus C. Partlow, Jr, MD;
Louise I. DiGregorio, MD
Arch Otolaryngol. 1983;109(10):701-704.
Abstract
The presence of air in the retropharyngeal and cervical subcutaneous spaces of the neck in association with the acute onset of severe odynophagia and dysphagia is an uncommonly recognized initial feature of pneumomediastinum. Free air in the mediastinum extends into the neck via fascial planes. Spontaneous pneumomediastinum is a self-limited disorder that can be confused with Boerhaave's syndrome (spontaneous esophageal perforation), which is potentially fatal. The diagnosis is established radiologically.
(Arch Otolaryngol 1983;109:701-704)
Author Affiliations
From the Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston.
Footnotes
Accepted for publication Aug 19, 1982.
Reprint requests to 332 Washington St, Wellesley Hills, MA 02181 (Dr Klotz).
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