Chebel Naji Abou, Ziade Dany, Achkouty Rana
American University of Beirut, Abou Jaoude Hospital Beirut, Lebanon. naji
Br J Oral Maxillofac Surg. 2010 Jun;48(4):e14-5. doi: 10.1016/j.bjoms.2009.12.005. Epub 2010 Jan 13.
We describe a 25-year-old woman who developed hypoxaemia secondary to pulmonary atelectasis after orthognathic surgery. Treatment with continuous positive airway pressure (CPAP) through a face-mask postoperatively was complicated by subcutaneous emphysema, pneumomediastinum, and bilateral pneumothoraces. CPAP has been advocated for the treatment of postoperative hypoxaemia, but when used in the presence of facial trauma or when the oral mucosa has been disrupted it can cause subcutaneous emphysema. We suggest that it is not used after orthognathic surgery.
我们描述了一名25岁女性，她在正颌手术后因肺不张继发低氧血症。术后通过面罩进行持续气道正压通气（CPAP）治疗出现了皮下气肿、纵隔气肿和双侧气胸等并发症。CPAP一直被提倡用于治疗术后低氧血症，但在存在面部创伤或口腔黏膜破裂的情况下使用时，可能会导致皮下气肿。我们建议在正颌手术后不要使用CPAP。
