Alix T, Boutet C, Caquant L, Parrau G, Carlot B, Seguin P
Service de chirurgie maxillofaciale, plastique et esthétique et de stomatologie, CHU de Saint-Etienne, France.
Rev Stomatol Chir Maxillofac. 2009 Jun;110(3):160-1. doi: 10.1016/j.stomax.2009.01.007. Epub 2009 May 5.
A pneumomediastinum was discovered fortuitously on a CT scan prescribed to a patient for facial and cranial trauma. Emphysema was attributed secondarily to an anterolateral maxillary wall fracture. The evolution was favorable after simple clinical and radiological surveillance.
The observation of a pneumomediastinum should first be related to a tracheal or esophageal wound with a severe prognosis. Endoscopy under general anesthesia was not necessary for our patient thanks to CT scan with 3D reconstruction. There is no consensus for systematic antibioprophylaxis.
在为一名面部和颅脑创伤患者进行的CT扫描中偶然发现了纵隔气肿。肺气肿继发于上颌骨前外侧壁骨折。经过简单的临床和影像学监测，病情好转。
纵隔气肿的发现首先应与预后严重的气管或食管损伤相关。由于进行了三维重建CT扫描，我们的患者无需在全身麻醉下进行内镜检查。对于系统性抗生素预防尚无共识。
