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Pneumomediastinum after Orthognathic Surgery: Case Report and Review of the Literature

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DOI: 10.4236/ijohns.2013.22014    3,527 Downloads   5,102 Views  


Orthognathic surgery in general addresses young patients and aims to improve their bite function and to harmonize their facial aesthetics. Secure surgical standards and a defined post-surgical protocol of after-care are indispensable to reduce surgical as well as anaesthesiological risks in this area of complex elective surgery. The development of pneumomediastinum is a rare incident but threatens the patients’ physical integrity. The case of a young healthy male who underwent Le Fort I osteotomy in combination with bilateral mandibular sagittal split osteotomy and postoperatively developed pneumomediastinum is presented, together with a discussion of the possible reasons for this rare complication of orthognathic surgery. The avoidance of life-threatening coincidences must be one main focus in the preparation and aftercare in elective orthognathic surgery.

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The authors declare no conflicts of interest.

Cite this paper

S. Jung, T. Prien, C. Rudack and J. Kleinheinz, "Pneumomediastinum after Orthognathic Surgery: Case Report and Review of the Literature," International Journal of Otolaryngology and Head & Neck Surgery, Vol. 2 No. 2, 2013, pp. 57-60. doi: 10.4236/ijohns.2013.22014.


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