I feel some pressure in neck after accidental strangulation. Is this a sign of hernia?

Hi,

Welcome to icliniq.com.

Sorry to hear about your injury. Since your CT (computed tomography) scan is normal, it is very unlikely that there is any bony or skeletal injury hence reducing the possibility of something permanent.

It appears that there is some soft tissue injury in the laryngopharyngeal region or a cartilaginous injury that is resolving very slowly. This indicates an injury closer to the voice box region because of constant movements during speech, laughter and swallowing delay recovery. This may also explain why it is taking so long to heal completely. In my opinion, an MRI (magnetic resonance imaging) is certainly indicated since there has been no improvement in symptoms for five weeks and to look for cartilaginous injury or soft tissue lesions such as a granuloma or hematoma following trauma. In addition, a video laryngoscopy performed by an ENT will help to evaluate the voice box and supporting apparatus internally for any injury (specifically the inter arytenoid region).

A hernia in the neck or a laryngocele may be a possibility following neck injury but seems very unlikely in your case since there is no visible bulge in the neck which worsens on coughing, etc. There may be an internal laryngocele that may be picked up on video laryngoscopy.

I hope this helps.