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Snap, crackle and pop: when sneezing leads to crackling in the neck
  1. Wanding Yang,
  2. Raguwinder S Sahota,
  3. Sudip Das
  1. ENT, Head and Neck Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK
  1. Correspondence to Miss Wanding Yang, dingyang{at}


Spontaneous perforation of the pharynx is an unusual condition. Due to its non-specific presentation and general lack of awareness, diagnosis and intervention may be delayed resulting in potential complications. This case reports a rare spontaneous perforation of the pyriform sinus after a forceful sneeze, leading to cervical subcutaneous emphysema and pneumomediastinum.

  • otolaryngology / ent
  • emergency medicine
  • radiology

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  • Contributors WY and RSS: literature research and cowriter of the manuscript. SD: identified the case and cowriter of the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.