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Erschienen in: European Archives of Oto-Rhino-Laryngology 9/2005

01.09.2005 | Miscellaneous

Traumatic retropharyngeal hematoma: a rare and critical pathology needed for early diagnosis

verfasst von: Christian Duvillard, Michel Ballester, Philippe Romanet

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 9/2005

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Abstract

Retropharyngeal hematoma occurs rarely. It is located just in front of the cervical spine. Many circumstances can lead to its development. A trauma and/or anticoagulants are often key factors. The assessment must be made extremely carefully as such a hematoma can induce an airway compromise. Trauma being a key factor, it can also present with cervical spine fractures, increasing the risks. Two different cases of retropharyngeal hematomas are reported. The first case required surgical management with tracheotomy, per-oral drainage and naso-gastric tube feeding. A total recovery was obtained in 2 weeks. The second patient underwent medical treatment (methylprednisolone), and recovery was obtained in 6 days. Surgery for retropharyngeal hematoma is not always mandatory. It becomes necessary when a major dysphagia or dyspnea occurs. In other cases, medical treatment and close observation are usually sufficient.
Literatur
1.
Zurück zum Zitat Chin KW, Sercaz JA, Wang MB, Andrews R (1998) Spontaneous cervical hemorrhage with near-complete airway obstruction. Head Neck 20:350–353CrossRefPubMed Chin KW, Sercaz JA, Wang MB, Andrews R (1998) Spontaneous cervical hemorrhage with near-complete airway obstruction. Head Neck 20:350–353CrossRefPubMed
2.
Zurück zum Zitat Daniello NJ, Goldstein SI (1994) Retropharyngeal hematoma secondary to minor blunt head and neck trauma. Ear Nose Throat J 73:41–43PubMed Daniello NJ, Goldstein SI (1994) Retropharyngeal hematoma secondary to minor blunt head and neck trauma. Ear Nose Throat J 73:41–43PubMed
3.
Zurück zum Zitat Mariani PJ (1990) Occipital condyle fracture presenting as retropharyngeal hematoma. Ann Em Med 19:1447–1449CrossRef Mariani PJ (1990) Occipital condyle fracture presenting as retropharyngeal hematoma. Ann Em Med 19:1447–1449CrossRef
4.
Zurück zum Zitat Ophir D, Bartal N (1988) Retropharyngeal hematoma following fish-bone ingestion. Ear Nose Throat J 67:528–530PubMed Ophir D, Bartal N (1988) Retropharyngeal hematoma following fish-bone ingestion. Ear Nose Throat J 67:528–530PubMed
5.
Zurück zum Zitat Owens DE, Calcatessa TC, Aarstad RA (1975) Retropharyngeal hematoma. A complication of therapy with anticoagulants. Arch Otolaryngol 101:565–568PubMed Owens DE, Calcatessa TC, Aarstad RA (1975) Retropharyngeal hematoma. A complication of therapy with anticoagulants. Arch Otolaryngol 101:565–568PubMed
6.
Zurück zum Zitat Penning J (1981) Prevertebral hematoma in cervical spine that is followed by hyperextension. Am J Roentgenology 136:533–561 Penning J (1981) Prevertebral hematoma in cervical spine that is followed by hyperextension. Am J Roentgenology 136:533–561
7.
Zurück zum Zitat Shaw CB, Bawa R, Snider G, Wax MK (1995) Traumatic retropharyngeal hematoma: case report. Otolaryngol Head Neck Surg 113:485–488PubMed Shaw CB, Bawa R, Snider G, Wax MK (1995) Traumatic retropharyngeal hematoma: case report. Otolaryngol Head Neck Surg 113:485–488PubMed
8.
Zurück zum Zitat Smith JP, Morrissey P, Hemmick RS, Haas AF, Bodai BI (1988) Retropharyngeal hematomas. J Trauma 28:553–554PubMed Smith JP, Morrissey P, Hemmick RS, Haas AF, Bodai BI (1988) Retropharyngeal hematomas. J Trauma 28:553–554PubMed
9.
Zurück zum Zitat Stewart RW, Hardjasudarma M, Nall L, Mathews G, Davis R (1995) Fatal outcome of jugular vein cannulation. Southern Med J 88:1159–1160 Stewart RW, Hardjasudarma M, Nall L, Mathews G, Davis R (1995) Fatal outcome of jugular vein cannulation. Southern Med J 88:1159–1160
10.
Zurück zum Zitat Tenofsky PL, Porter SW, Shaw JW (2000) Fatal airway compromise due to retropharyngeal hematoma after airbag deployment. Am Surg 66:692–694PubMed Tenofsky PL, Porter SW, Shaw JW (2000) Fatal airway compromise due to retropharyngeal hematoma after airbag deployment. Am Surg 66:692–694PubMed
11.
Zurück zum Zitat Tsai KJ, Huang YC (1999) Traumatic retropharyngeal hematoma: case report. J Trauma 46:715–716PubMed Tsai KJ, Huang YC (1999) Traumatic retropharyngeal hematoma: case report. J Trauma 46:715–716PubMed
12.
Zurück zum Zitat Wholey MH, Bewer AJ, Baker HL (1958) The lateral roentgenogram of the neck. Radiology 71:350–356PubMed Wholey MH, Bewer AJ, Baker HL (1958) The lateral roentgenogram of the neck. Radiology 71:350–356PubMed
Metadaten
Titel
Traumatic retropharyngeal hematoma: a rare and critical pathology needed for early diagnosis
verfasst von
Christian Duvillard
Michel Ballester
Philippe Romanet
Publikationsdatum
01.09.2005
Verlag
Springer-Verlag
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 9/2005
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-004-0767-3

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