Pneumomediastinum and pneumothorax after orthognathic surgery -A case report

The occurrences of pneumomediastinum and pneumothorax after oral and/or maxillofacial surgery are rare, but both are potentially life-threatening complications. Most of the cases that present pneumomediastinum and pneumothorax in the oral and/or maxillofacial surgery result from air dissecting down...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2010, 59(0), , pp.242-245
Main Authors: Kim, Taehwa, Kim, Jin Yun, Woo, Young Cheol, Park, Sun Gyoo, Baek, Chong Wha, Kang, Hyun
Format: Article
Language:English
Subjects:
Case Report
complication
oral and maxillofacial surgery
pneumomediastinum
pneumothorax
postoperative
마취과학
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Summary:The occurrences of pneumomediastinum and pneumothorax after oral and/or maxillofacial surgery are rare, but both are potentially life-threatening complications. Most of the cases that present pneumomediastinum and pneumothorax in the oral and/or maxillofacial surgery result from air dissecting down the fascial planes of the neck. We report a case of a 23-year-old male patient who underwent bilateral sagittal split ramus osteotomy under general anesthesia and developed pneumomediastinum and pneumothorax without any traumatic introduction of air through the cervical fascia three days postoperatively. The possible causes and its prevention are discussed with a review of the relevant literature.
ISSN:2005-6419
2005-7563
DOI:10.4097/kjae.2010.59.S.S242