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Traumatic mediastinal emphysema

Archives of orthopaedic and traumatic surgery volume 97, pages 17–19 (1980)Cite this article

Summary

The traumatic mediastinal emphysema occurs along with severe combined injuries. A typical feature is the subcutaneous emphysema as well as crackling sounds and frequently a pneumothorax. The radiography of the chest shows air in the mediastinum surrounding the mediastinal structures. The pleura drainage could be done as an emergency performance in cases of pneumothorax. In cases of an increasing subcutaneous and mediastinal emphysema as well as circulatory failure a cervical mediastinotomy should be carried out. The tracheobronchial tree should be examined bronchoscopically for possible ruptures. Esophagus injuries will be detected by the distribution of a contrast fluid. Even a thoracotomy may be necessary.

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References

  1. Gray JM, Hanson GC (1966) Mediastinal emphysema: aetiology, diagnosis and treatment. Thorax 21:325–332

    Article  CAS  Google Scholar 

  2. Hamman L (1945) Mediastinal emphysema: The Frank Billings Lecture. JAMA 128:1–6

    Article  Google Scholar 

  3. Liebig S, Siemoneit KD (1974) Mediastinalemphysem und Begleitpneumothorax — Entstehung und Behandlung. Prax Pneumol 28:1133–1138

    PubMed  Google Scholar 

  4. Munsell WP (1967) Pneumomediastinum. JAMA 202:689–693

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery A, University Hospital Düsseldorf, Moorenstr. 5, D-4000, Düsseldorf 1, Germany

    W. van der Horst, H. Nier & W. Meyer

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  1. W. van der Horst
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  2. H. Nier
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  3. W. Meyer
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van der Horst, W., Nier, H. & Meyer, W. Traumatic mediastinal emphysema. Arch. Orth. Traum. Surg. 97, 17–19 (1980). https://doi.org/10.1007/BF00381523

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  • DOI: https://doi.org/10.1007/BF00381523

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