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Paper Details

Retropharyngeal Space Hematoma in a Patient with Severe COVID-19 Illness

Retropharyngeal Space Hematoma in a Patient with Severe COVID-19 Illness

BV Manjula

Journal Title:Acta Scientific Otolaryngology

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 ad- dress a major, possibly life threatening condition. Keywords: Retropharyngeal Hematoma; Prevertebral Space; Dysphagia; Airway Obstruction; Anticoagulants