Pneumomediastinum and pneumothorax after orthognathic surgery: A case report.
10.4097/kjae.2010.59.S.S242
- Author:
Taehwa KIM
1
;
Jin Yun KIM
;
Young Cheol WOO
;
Sun Gyoo PARK
;
Chong Wha BAEK
;
Hyun KANG
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea. jyk5399@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Complication;
Oral and maxillofacial surgery;
Pneumomediastinum;
Pneumothorax;
Postoperative
- MeSH:
Anesthesia, General;
Fascia;
Humans;
Male;
Mediastinal Emphysema;
Neck;
Osteotomy, Sagittal Split Ramus;
Pneumothorax;
Surgery, Oral;
Young Adult
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S242-S245
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
