Pharyngeal perforation after blunt neck trauma is a rarity. We present a case of nasopharyngeal perforation after blunt neck trauma in a 29-year-old female patient. She presented with anterior neck tenderness and dysphagia after falling during an epileptic seizure. The head and neck assessment and fiberoptic pharyngolaryngeal examination did not show any injury. A computed tomography scan showed a parapharyngeal emphysema due to a nasopharyngeal perforation. The patient was successfully treated with a broad-spectrum antibiotic, analgesic, and 1 day of fasting. Adequate imaging (radiographs or computed tomography scans) should be conducted in patients with blunt neck trauma. The treatment modality depends on the location and size of the pharyngeal perforation.
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