Postoperative pneumomediastinum and pneumothorax following orthognathic surgery

Edwards, D.; Scheffer, Robert B.; Jackler, Ira

doi:10.1016/0278-2391(86)90197-7

Cited by 37 publications

(14 citation statements)

References 8 publications

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“…The development of a pneumomediastinum or a pneumothorax after orthognathic surgery is a rare but possibly life threatening complication that has been described in 6 cases to date [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

Pneumomediastinum after Orthognathic Surgery: Case Report and Review of the Literature

Jung¹,

Prien²,

Rudack³

et al. 2013

IJOHNS

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Orthognathic surgery in general addresses young patients and aims to improve their bite function and to harmonize their facial aesthetics. Secure surgical standards and a defined post-surgical protocol of after-care are indispensable to reduce surgical as well as anaesthesiological risks in this area of complex elective surgery. The development of pneumomediastinum is a rare incident but threatens the patients' physical integrity. The case of a young healthy male who underwent Le Fort I osteotomy in combination with bilateral mandibular sagittal split osteotomy and postoperatively developed pneumomediastinum is presented, together with a discussion of the possible reasons for this rare complication of orthognathic surgery. The avoidance of life-threatening coincidences must be one main focus in the preparation and aftercare in elective orthognathic surgery.

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Section: Discussionmentioning

confidence: 99%

Pneumomediastinum after Orthognathic Surgery: Case Report and Review of the Literature

Jung¹,

Prien²,

Rudack³

et al. 2013

IJOHNS

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“…The first is introduction of air from trauma of the chest wall or cervical fascia. The second is introduction of air into the mediastinum and pleural cavity from alveolar rupture by increased intra-alveolar pressure, which is induced by choking, coughing, and mucous plugging in dental patients, or by vigorous ventilatory support with mechanical ventilation and an ambu bag [1,2]. …”

Section: Discussionmentioning

confidence: 99%

“…Depending on their progress, respiratory failure and circulatory disturbance can occur, so early diagnosis and treatment are necessary [1,3]. Patients who have intermaxillary fixation for bone union after orthognathic surgery have difficulty with oral breathing.…”

Section: Discussionmentioning

confidence: 99%

“…The mechanisms for introduction of air into the mediastinal or pleural spaces are by traumatic disruption of the chest wall or cervical fascia, and by alveolar rupture due to increased intra-alveolar pressure [1]. Pneumomediastinum that occurs after oral and/or maxillofacial surgery is reportedly the result of air usually dissecting along the fascial planes of the neck [2].…”

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confidence: 99%

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Pneumomediastinum and pneumothorax after orthognathic surgery -A case report-

Kim

Woo

et al. 2010

Korean J Anesthesiol

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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.

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“…Center, This scan, taken through the level of the trache¬ otomy tube, shows diffuse bilateral chest wall subcutaneous emphyse¬ ma and prevertebral emphysema. Bottom, This scan, taken through the level of the aortic arch, shows (1) retrosternal emphysema,(2) mediastinal emphysema between the ascending aorta and the superior vena cava, and (3) mediastinal emphysema between the aortic arch and the left parietal pleura.…”

mentioning

confidence: 99%