The patient: A man in the thirties in the United Kingdom
Symptoms: The patient arrived in the emergency room with intense pain and with a swollen neck that he had trouble moving. He reported that the pain had exploded immediately after stifling a sneezing by pinching his nose and closing his mouth at the same time. He was driving and affirming with hay fever Symptoms when he stifled sneezing.
Although the man had no trouble breathing, swallowing or speaking, his doctors noticed a slight noise of crackling during a first examination of his neck.
What happened next: When Doctors took a radiography to investigate more, they found signs of surgical emphysemaA condition in which the air is trapped under the layers of the deepest tissue under the skin.
The diagnosis: A computed tomography then showed that a tear had formed between the third and fourth bone of the patient’s neck, which allowed the air to escape from his trachea, or from his trachea, and in the tissues of the neck and the space between the lungs. The hole in its trachea measured 0.08 per 0.08 inches (2 by 2 millimeters).
Doctors have concluded that the tear probably formed due to a “rapid accumulation of pressure in the trachea while sneezing with a pinched nose and a closed mouth”, according to a Case report.
Treatment: The patient’s medical suppliers determined that he did not need surgery to repair the tear. Instead, they watched it in the hospital for two days, looking carefully at its oxygen levels and other vital signs and not providing food through the mouth for the first day. He was then released with prescriptions of pain medication and hay fever, as well as doctor’s orders to avoid intense activity for two weeks.
During a balance sheet five weeks later, a computed tomography of the man’s neck showed that the tear had completely healed.
Which makes the case unique: Spontaneous tears of wind holes are not widely reported in the medical literature, with only A little case documented before this case. These tears result mainly from physical trauma to trachea or complications after medical procedures, such as the elimination of the thyroid or the insertion of a tube in trachure or esophagus.
Before the man’s case, there had been no report of tearing trachea due to muffled sneezing, his doctors reported. Estimates suggest that when the mouth and nose are closed during sneeze, pressure in the upper respiratory tract can be more than 20 times Pressure during your average “Achoo”.
“Everyone must be advised not to suffocate sneezing by pinching their noses while keeping their mouth closed because it can cause tracheal perforation,” warned doctors in their report.
This article is for information only and is not supposed to offer medical advice.
