[Pneumomediastinum, a rare complication secondary to a minor maxillary fracture].
METHODS
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.


CONCLUSIONS
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.
Alix
T
T
Service de chirurgie maxillofaciale, plastique et esthétique et de stomatologie, CHU de Saint-Etienne, France. alix.thomas.cmf@gmail.com
Boutet
C
C
Caquant
L
L
Parrau
G
G
Carlot
B
B
Seguin
P
P
D000328:Adult; D005151:Facial Injuries / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D021621:Imaging, Three-Dimensional / Q000379:methods; D008297:Male; D008440:Maxillary Fractures / Q000150:complications* / Q000000981:diagnostic imaging; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*; D013352:Subcutaneous Emphysema / Q000209:etiology; D013701:Temporal Bone / Q000293:injuries; D014057:Tomography, X-Ray Computed / Q000379:methods