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These cases result in immediate onset (usually) painless swelling of the face and neck; crepitus (crunching sound) typical of subcutaneous emphysema is often present and the subcutaneous air will be visible on X-ray. [24] One of the main causes of subcutaneous emphysema, along with pneumothorax, is an improperly functioning chest tube. [2]
Another potential cause of the sound is known as crepitus, which is the general term for the crinkling of cartilage around the joint, or tendons and ligaments rolling over each other, says Michael ...
The main symptoms of a hyoid bone fracture include pain when the affected person rotates their neck, trouble swallowing (), and painful swallowing (odynophagia).Other symptoms can be crepitus or tenderness over the bone, suffocation when sticking out the tongue, dyspnea, dysphonia, and subcutaneous emphysema.
Crepitus is often loud enough to be heard by the human ear, although a stethoscope may be needed to detect instances caused by respiratory diseases. In times of poor surgical practice, post-surgical complications involved anaerobic infection by Clostridium perfringens strains , which can cause gas gangrene in tissues , also giving rise to crepitus.
Esophageal rupture: Those affected usually complain of sudden, severe, and constant pain that starts from the neck to the upper abdomen. The pain is aggravated by swallowing. On examination, neck swelling and Crepitus can be felt due to subcutaneous emphysema as free air is entering from esophagus into the subcutaneous tissue.
Deep neck infections that develop as a consequence of oral, dental and pharyngeal infections are generally polymicrobial in nature. These include extension of retropharyngeal cellulitis or abscess, mediastinitis following esophagus perforation, and dental or periodontal abscess.
The neck and supraclavicular fossa are palpated to feel for cervical adenopathy, other masses, and laryngeal crepitus. The oral cavity and oropharynx are examined under direct vision. The larynx may be examined by indirect laryngoscopy using a small angled mirror with a long handle (akin to a dentist's mirror) and a strong light.
Neck creaking or cracking of the neck is a clicking sound caused by movements of the neck. It can be a normal joint cracking or caused by arthrosis. [1] [2] References