Journal of Trauma and Injury

  • 제18권2호
  • /
  • Pages.179-183
  • /
  • 2005
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

편타성 상해로 인한 후인두혈종 1례

A case of retropharyngeal hematoma induced by whiplash injury

  • 권오성 (동국대학교 의과대학 이비인후과학교실) ;
  • 이종빈 (동국대학교 의과대학 이비인후과학교실) ;
  • 김기식 (동국대학교 의과대학 이비인후과학교실) ;
  • 정동우 (동국대학교 의과대학 이비인후과학교실) ;
  • 박가현 (동국대학교 의과대학 이비인후과학교실)
  • Kwon, O Sung (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dongguk University) ;
  • Lee, Jong Bin (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dongguk University) ;
  • Kim, Ki Sik (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dongguk University) ;
  • Jung, Dong Woo (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dongguk University) ;
  • Park, Ga Hyun (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dongguk University)
  • 투고 : 2005.11.14
  • 심사 : 2005.12.15
  • 발행 : 2005.12.30
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초록

Whiplash injury commonly seen in automobile accident. This type of acceleration-deceleration injury may rarely lead to unfavorable outcomes as in the case of retropharyngeal hematoma. Because this lesion has the possibility of compressing the potential airway acutely or gradually, not only the rapid assessment and treatment but also closed observation are needed. We report a case of a 20-year-old man, who sustained a whiplash injury from contact with the headrest of his seat after his car was involved in a rollover. He had no symptom except posterior neck pain initially, but complained odynophagia and acute dyspnea after 10 hours of admission. The diagnostic work-up comprising lateral radiograph, CT imaging disclosed the rare constellation of a retropharyngeal hematoma with cervical spine fractures. Medical treatment and close observation were sufficient for the patient because he had no progressive dyspnea or major dysphagia.

키워드

참고문헌

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