Retropharyngeal haematoma is a life-threatening clinical situation that can lead to a potential obstruction of the upper airway and requires rapid diagnosis. Clinicaly, it can be presented in different ways, depending on its size and growing speed. The first measure is to protect and manage the airway: in most cases this is a difficult airway situation. A retropharyngeal haematoma can be formed due to a previous traumatic history, with or without associated cervical fracture. Treatment of the haematoma is conservative in most cases, with close monitoring until it is reabsorbed in 3-4 weeks, although they can sometimes require surgical evacuation. We present the case of a patient who developed a large retropharyngeal haematoma after minor cervical trauma and describe an approach of the airway using the Airtraq® disposable optical laryngoscope.
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http://dx.doi.org/10.1016/j.redar.2017.11.003 | DOI Listing |
Front Med (Lausanne)
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Department of Cardiology, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, China.
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Otolaryngology, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, USA.
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Student Research Committee, Faculty of Medicine, Iran University of Medical Science, Tehran, Iran.
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Hôpitaux Universitaires de Strasbourg - Hôpital de Hautepierre, Intensive Care Unit, Strasbourg, France.
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Department of Veterinary Internal Medicine and Institute of Veterinary Science (Jeong, Chung, Ahn) and Department of Veterinary Surgical Science (Kwak, Woo) and Department of Veterinary Medical Imaging (Choi), College of Veterinary Medicine, Kangwon National University, Kangwondaehak-gil 1, Chuncheon-si, 24341, Gangwon-do, South Korea; IDEXX Laboratories, Inc., 1 IDEXX Drive, Westbrook, Maine 04092, USA (Chalkley).
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