title: Pneumomediastinum and pneumothorax after orthognathic surgery -A case report-.
abstract: 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.
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.
authors.forename: Taehwa
authors.initials: T
authors.lastname: Kim
authors.forename: Jin Yun
authors.initials: JY
authors.lastname: Kim
authors.forename: Young Cheol
authors.initials: YC
authors.lastname: Woo
authors.forename: Sun Gyoo
authors.initials: SG
authors.lastname: Park
authors.forename: Chong Wha
authors.initials: CW
authors.lastname: Baek
authors.forename: Hyun
authors.initials: H
authors.lastname: Kang