Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S242-5. doi: 10.4097/kjae.2010.59.S.S242. Epub 2010 Dec 31.
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.
口腔颌面手术后发生纵隔气肿和气胸的情况较为罕见，但两者均是潜在的危及生命的并发症。口腔颌面外科中大多数出现纵隔气肿和气胸的病例是由于空气沿着颈部筋膜平面向下扩散所致。我们报告了 1 例 23 岁男性患者，在全身麻醉下行双侧下颌升支矢状劈开截骨术，术后 3 天无任何经颈部筋膜创伤性引入空气的情况下发生纵隔气肿和气胸。讨论了可能的原因及其预防措施，并复习了相关文献。
