Bilateral pneumothorax and pneumomediastinum after treatment with continuous positive airway pressure after orthognathic surgery.

Authors :: Chebel NA
Ziade D
Achkouty R
Source :: The British journal of oral & maxillofacial surgery [Br J Oral Maxillofac Surg] 2010 Jun; Vol. 48 (4), pp. e14-5. Date of Electronic Publication: 2010 Jan 13.
Publication Year :: 2010
Abstract: We describe a 25-year-old woman who developed hypoxaemia secondary to pulmonary atelectasis after orthognathic surgery. Treatment with continuous positive airway pressure (CPAP) through a face-mask postoperatively was complicated by subcutaneous emphysema, pneumomediastinum, and bilateral pneumothoraces. CPAP has been advocated for the treatment of postoperative hypoxaemia, but when used in the presence of facial trauma or when the oral mucosa has been disrupted it can cause subcutaneous emphysema. We suggest that it is not used after orthognathic surgery.<br /> (Copyright 2009 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)

Subjects :: Adult
Female
Follow-Up Studies
Humans
Hypoxia etiology
Osteotomy, Le Fort adverse effects
Postoperative Complications
Pulmonary Atelectasis etiology
Subcutaneous Emphysema etiology
Continuous Positive Airway Pressure adverse effects
Mediastinal Emphysema etiology
Orthognathic Surgical Procedures adverse effects
Pneumothorax etiology

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