Tosun Fuat, Ozer Cem, Akcam Timur, Gerek Mustafa, Yetiser Sertac
Department of ORL and HNS, Gulhane Medical School, Etlik 06018, Ankara, Turkey.
J Craniofac Surg. 2005 Jul;16(4):661-4. doi: 10.1097/01.scs.0000168772.71356.2b.
Subcutaneous cervicofacial emphysema is an entity with the presence of air within the fascial planes of the head and neck, which results from various causes. A case of severe subcutaneous cervicofacial emphysema associated with Munchausen's syndrome is presented. Detailed diagnostic investigations to find out the organic cause of the condition were failed. Episodes of facial swelling were prevented by psychiatric support. Munchausen's syndrome should be kept in mind among the etiological factors of subcutaneous cervicofacial emphysema cases, in whom no organic causes can be found out.
皮下颈面部气肿是一种因多种原因导致头颈部筋膜平面内出现气体的病症。本文报告一例与孟乔森综合征相关的严重皮下颈面部气肿病例。详细的诊断性检查未能找出该病症的器质性病因。通过精神科支持预防了面部肿胀发作。在无法找出器质性病因的皮下颈面部气肿病例中，应将孟乔森综合征纳入病因因素的考虑范围。
