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Retropharyngeal Hematoma $100.00
Authors:  Tun-Yen Hsu
Retropharyngeal hematoma is an uncommon entity of disease of pharynx. A variety of causes are known including direct neck trauma, whiplash injury, foreign body ingestion, deep neck infection, metastatic carcinoma, anticoagulant drugs, coughing, sneezing, straining, or even spontaneous bleeding. Diagnosis can often be inferred from history but exploration may be required for confirmation. Due to pharyngeal wall swelling, it wound cause sore throat, dysphonia, dysphagia or even dyspnea while airway compromise. Physical examination may reveal stridor. In some severe cases, subcutaneous bruising over neck and anterior chest may be found. Narrowing of the pharynx can be detected simply by neck soft tissue lateral view X-ray or by endoscopic examination. Computed tomography (CT) scan or Magnetic Resonance Imaging (MRI) examination should also be necessary because the hematoma may involve inferiorly to the mediastinum causing anterior displacement of trachea or esophagus which complicate management strategy. Securing the airway is the most crucial. In traumatic cases, cervical spine immobilization is also important. Surgical evacuation of a retropharyngeal hematoma can be necessary when the hematoma is large, breathing inadequate or conservative management unsuccessful. Specific management against the possible specific cause should also be taken. 

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Retropharyngeal Hematoma