Senior Consultant and Head of the Department of ENT and Head and Neck Surgery, Bangalore Baptist Hospital, India
*Corresponding Author: BV Manjula, Senior Consultant and Head of the Department of ENT and Head and Neck Surgery, Bangalore Baptist Hospital, India.
Received: July 15, 2021; Published: August 28, 2021
Background: Deep neck spaces include prevertebral, danger and retropharyngeal spaces. Imaging cannot differentiate between these various fascial planes. A hematoma in these potential spaces due to any reason can compress the airway leading to stridor, dyspnea, neck pain and dysphagia. Most of these hematomas resolve within 2 weeks but few would require intervention depending on severity of symptoms.
Case Description: A 53 years old female patient was mechanically ventilated and tracheostomized for severe COVID-19 illness. She developed throat pain, swallowing difficulty and difficulty in neck movements, which were noticed after she was shifted to the ward. She was referred to the ENT department for endoscopic evaluation and imaging which suggested a large retropharyngeal collection. She underwent intraoral aspiration and drainage of hematoma after which her symptoms resolved.
Conclusion: Individualized approach is needed for these rare conditions and sometimes a simple procedure may be sufficient to address a major, possibly life threatening condition.
Keywords: Retropharyngeal Hematoma; Prevertebral Space; Dysphagia; Airway Obstruction; Anticoagulants
Citation: BV Manjula. “Retropharyngeal Space Hematoma in a Patient with Severe COVID-19 Illness".Acta Scientific Otolaryngology 3.9 (2020): 56-59.
Copyright: © 2020 BV Manjula. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.