title: Descending necrotizing mediastinitis and facial palsy as serial complications in orthognathic surgery.
abstract: Orthognathic surgery is one of the most commonly performed cosmetic surgical procedures. Hemorrhage, infection, and facial palsy have been reported as complications of the surgery, but the occurrence is low. Our patient presented with facial palsy, postoperative bleeding, wound dehiscence, and descending necrotizing mediastinitis in a sequence. This is the first report of descending necrotizing mediastinitis after orthognathic surgery. Although these are very rare complications, awareness of the clinical presentation and the management of these conditions are important.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Gangnam Severance Hospital, Yonsei University Medical College, Seoul, South Korea.
authors.forename: Young Seok
authors.initials: YS
authors.lastname: Kim
authors.forename: Eui Sun
authors.initials: ES
authors.lastname: Oh
authors.forename: Jong Won
authors.initials: JW
authors.lastname: Hong
authors.forename: Tai Suk
authors.initials: TS
authors.lastname: Roh
authors.forename: Dong Kyun
authors.initials: DK
authors.lastname: Rah
authors.forename: Hyo Chae
authors.initials: HC
authors.lastname: Paik
mesh_terms: D000328:Adult; D005146:Facial Asymmetry / Q000601:surgery*; D005158:Facial Paralysis / Q000209:etiology* / Q000628:therapy; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology* / Q000628:therapy; D009336:Necrosis / Q000209:etiology / Q000628:therapy; D057909:Orthognathic Surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000628:therapy