Evidence map›Paper›PMID 41465963›Full record

ArticleMedicine2025

Conservative treatment of giant spontaneous retropharyngeal hematoma: A case report.

Guoqiang Du, Yao Bi, Yongtuan Li, Lingling Song, Juan Wang

Abstract readCase Reports
In one paragraph

Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Guoqiang DuDepartment of Otolaryngology Head and Neck Surgery, Qingdao Municipal Hospital, Qingdao, China.
Yao BiDepartment of Anesthesiology and Surgery, Qingdao Municipal Hospital, Qingdao, China.
Yongtuan LiDepartment of Otolaryngology Head and Neck Surgery, Qingdao Municipal Hospital, Qingdao, China.
Lingling SongDepartment of Otolaryngology Head and Neck Surgery, Qingdao Municipal Hospital, Qingdao, China.
Juan WangDepartment of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, China.ORCID 0000-0002-5066-0926

Funding

the Clinical Medicine + X Scientific Research of the Affiliated Hospital of Qingdao University QDFY + X2024130
6 · The paper itself

Abstract

rationaleSpontaneous retropharyngeal hematoma (SRH) is an occult disease that can cause rapid airway obstruction. Currently, no standardized diagnostic and therapeutic protocols have been established. In this case report, we present the successful conservative management of a patient with a giant SRH, further discuss strategies for airway management and hematoma evacuation, and intend to offer practical insights for the diagnosis and management of SRH. PATIENT CONCERNS: A 54-year-old female patient with rapidly progressive neck swelling and respiratory tract obstruction. DIAGNOSES: The patient was diagnosed with SRH through computed tomography, magnetic resonance imaging, laryngoscope and ultrasound-guided aspiration biopsy.

interventionsTimely orotracheal intubation, tracheotomy, and anti-infective therapy. OUTCOMES: After these treatments, the patient successfully had the tracheostomy tube removed after 4 weeks and was discharged from the hospital upon recovery. LESSONS: This case emphasizes the importance of early identification of SRH. It also highlights that the treatment focus for SRH lies in airway management and the selection of hematoma evacuation protocols. Furthermore, it underscores the need to consider the regularity of hematoma absorption time in the retropharyngeal space, as well as the timing and approach of surgery that should be taken into account when evacuating the hematoma.

Indexed as

Airway ObstructionConservative TreatmentHematomaPharyngeal DiseasesFemaleHumansIntubation, IntratrachealMagnetic Resonance ImagingMiddle AgedTomography, X-Ray ComputedTracheotomyabsorption timeairway managementSRHtreatment experience

Identifiers

PMID41465963
PMCPMC12747016

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.