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Inicio Acta Otorrinolaringológica Española Neumomediastino y enfisema cervical espontáneos con alteración en la voz
Journal Information
Vol. 54. Issue 2.
Pages 151-156 (February 2003)
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Vol. 54. Issue 2.
Pages 151-156 (February 2003)
Neumomediastino y enfisema cervical espontáneos con alteración en la voz
Spontaneous cervical emphysema and pneumomediastinum with voice disorder
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1616
C. Marín Garrido
,1
Corresponding author
crismaring@yahoo.com

Cristina MarínGarrido. Gran Vía, 24 - 5.a Dcha. 50005 Zaragoza.
, J.A. Garzón Calles*, M.J. Naya Gálvez**, J.M. Esteban Revenga*, C. López García***
* Servicio de otorrinolaringología del hospital general de soria
** Correspondencia: Servicio de otorrinolaringología del hospital de calatayud
*** Servicio de radiodiagnóstico del hospital general de soria
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Resumen

La existencia de enfisema cervical y neumomediastino espontáneos con ausencia de patología previa o de factores desencadenantes es muy infrecuente. Los síntomas predominantes son dolor retroesternal, disnea, disfagia y dolor cervical. El diagnóstico se establece radiológicamente. La evolución es generalmente buena y un tratamiento conservador permite la recuperación en la mayoría de los pacientes. Presentamos un caso atípico de neumomediastino, enfisema cervical y retrofaríngeo que se extiende hasta el cavum, cuyo síntoma de sospecha fue un cambio en la tonalidad de la voz detectada por los padres.

Palabras clave:
Neumomediastino/enfisema mediastínico espontáneo
Enfisema cervical
Alteración de la voz
Abstract

Spontaneous cervical emphysema and pneumomediastinum, occurring in the absence of previous disorders or provocating factors, is very rare. The predominant symptoms are retroesternal pain, dyspnea, dysphagia and neck pain. The diagnosis is established radiologically. The evolution is generally good and conservative therapy leads to recovery in most patients. We present an unusual case of pneumomediastinum, cervical and retropharyngeal emphysema that spread to cavum; the suspected symptom was voice alteration as reported by the parents.

Key words:
Spontaneous pneumomediastinum/mediastinal emphysema
Cervical emphysema
Alteration in voice

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