When is a bronchoscopy indicated in the evaluation of pneumomediastinum (PM)?

Updated: Feb 26, 2019
  • Author: Patrick L Carolan, MD; Chief Editor: Girish D Sharma, MD, FCCP, FAAP  more...
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Answer

Bronchoscopy is indicated if a tracheobronchial perforation is suspected, which may occasionally be observed following blunt chest trauma. Neal et al observed that pneumomediastinum after blunt trauma in clinically stable children is rarely associated with significant underlying injury to the tracheobronchial tree. [39] In addition to trauma indications, bronchoscopy may assist with localization and removal of foreign bodies as well as the evaluation of endobronchial lesions that may occur in association with pneumomediastinum. [40]


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