Arizmendi-Ramos CV, Angulo-Pérez G

Language: Spanish
References: 14
Page: 222-227
PDF size: 259.90 Kb.

ABSTRACT

Background: Spontaneous hematomas in deep neck spaces are usually caused by coagulopathies or chronic anticoagulant therapy. In some cases, they lead to lifethreatening compromise of the airway that must be managed urgently.
Clinical case: A 49-year-old woman presented with gross enlargement of the submental region and no signs of dyspnea on examination. The neck CT scan showed a heterogeneous image with contrast enhancement in the sublingual, submental and submandibular regions. Emergency airway management was ensured with a tracheostomy and drainage of the deep neck hematoma.
Conclusions: Most hematomas in deep neck spaces develop as a result of large vessel lesions or severe trauma. Surgical drainage of the hematoma must be performed to avoid an airway compromise.

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