[Etiopathogenicity of cervicomediastinal emphysema].
Cervical and mediastinal emphysema is a rather rare phenomenon, that may happen in various clinical situations. The ENT-specialist is commonly involved in diagnostic as well as in therapeutic procedures. This retrospective study of 116 cases shows three different ethiopathogenic mechanisms: a direct trauma, a pressure gradient and a local gaz production in the soft tissues. Two patient groups with a different prognosis could be found. Accordingly, a diagnostic procedure is proposed and the place of endoscopy in diagnosis and treatment is discussed.
Lang
F J
FJ
Service ORL, CHUV, Lausanne, Suisse.
Ollyo
J B
JB
Savary
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D001999:Bronchoscopy / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D004945:Esophagoscopy / Q000009:adverse effects; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology* / Q000503:physiopathology; D008875:Middle Aged; D009333:Neck; D011312:Pressure; D012127:Respiratory Distress Syndrome, Newborn / Q000150:complications; D012189:Retrospective Studies; D013352:Subcutaneous Emphysema / Q000209:etiology* / Q000503:physiopathology; D013898:Thoracic Injuries / Q000150:complications
Etiopathogénie de l'emphysème cervico-médiastinal.