Neck emphysema is an unusual pathology in childhood depending on several conditions. We report the case of a subcutaneous emphysema of the neck after an oropharyngeal injury in a child and take the advantage of the event in order to review the etiology and pathogeny of neck emphysema, because the otolaryngologist must know the differential diagnosis, face to the presence of air inside the neck, since the definitive treatment depends on is etiology.