Lang F J, Ollyo J B, Savary M
Service ORL, CHUV, Lausanne, Suisse.
Ann Otolaryngol Chir Cervicofac. 1991;108(2):129-34.
Cervical and mediastinal emphysema is a rather rare phenomenon, that may happen in various clinical situations. The ENT-specialist is commonly involved in diagnostic as well as in therapeutic procedures. This retrospective study of 116 cases shows three different ethiopathogenic mechanisms: a direct trauma, a pressure gradient and a local gaz production in the soft tissues. Two patient groups with a different prognosis could be found. Accordingly, a diagnostic procedure is proposed and the place of endoscopy in diagnosis and treatment is discussed.
颈部和纵隔气肿是一种较为罕见的现象，可能发生于多种临床情况。耳鼻喉科专家通常参与诊断及治疗过程。这项对116例病例的回顾性研究显示了三种不同的病因发病机制：直接创伤、压力梯度以及软组织局部气体产生。可以发现两组预后不同的患者。据此，提出了一种诊断方法，并讨论了内镜检查在诊断和治疗中的地位。
