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Severe upper airway obstruction due to retropharyngeal haematoma formation following cervical trauma

Authors
  • Haarmann, Stephan1
  • Budihardja, Andi Setiawan1
  • Mücke, Thomas1
  • Schwaegerl, Christian2
  • Wolff, Klaus Dietrich1
  • 1 Ruhr Universität Bochum, Universitätsklinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Knappschaftskrankenhaus Bochum Langendreer, In der Schornau 23–25, Bochum, 44892, Germany , Bochum (Germany)
  • 2 Ruhr Universität Bochum, Klinik für Radiologie, Knappschaftskrankenhaus Bochum Langendreer, In der Schornau 23–25, Bochum, 44892, Germany , Bochum (Germany)
Type
Published Article
Journal
Mund-, Kiefer- und Gesichtschirurgie
Publisher
Springer-Verlag
Publication Date
Nov 08, 2007
Volume
11
Issue
6
Pages
363–367
Identifiers
DOI: 10.1007/s10006-007-0085-1
Source
Springer Nature
Keywords
License
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Abstract

Mechanical airway obstruction secondary to retropharyngeal bleeding is rare. In most cases such a complication is described after head and neck trauma. Complicating factors include anticoagulant therapy, tumour, aneurysm, infection or major cervical spine injury. A precise initial diagnosis is necessary to avoid a life-threatening situation. Lateral X-ray and computed tomography is essential for safe management. Treatment depends upon size of the haematoma as well as the clinical course of the patient. Smaller haematomas may be observed. Lager haematomas and those that fail to reabsorb should undergo drainage.

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