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Bilateral pneumothorax and pneumomediastinum after treatment with continuous positive airway pressure after orthognathic surgery.
Br J Oral Maxillofac Surg. 2010 Jun; 48(4):e14-5.BJ

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.

Authors+Show Affiliations

American University of Beirut, Abou Jaoude Hospital Beirut, Lebanon. naji abouchebel@yahoo.frNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20071060

Citation

Chebel, Naji Abou, et al. "Bilateral Pneumothorax and Pneumomediastinum After Treatment With Continuous Positive Airway Pressure After Orthognathic Surgery." The British Journal of Oral & Maxillofacial Surgery, vol. 48, no. 4, 2010, pp. e14-5.
Chebel NA, Ziade D, Achkouty R. Bilateral pneumothorax and pneumomediastinum after treatment with continuous positive airway pressure after orthognathic surgery. Br J Oral Maxillofac Surg. 2010;48(4):e14-5.
Chebel, N. A., Ziade, D., & Achkouty, R. (2010). Bilateral pneumothorax and pneumomediastinum after treatment with continuous positive airway pressure after orthognathic surgery. The British Journal of Oral & Maxillofacial Surgery, 48(4), e14-5. https://doi.org/10.1016/j.bjoms.2009.12.005
Chebel NA, Ziade D, Achkouty R. Bilateral Pneumothorax and Pneumomediastinum After Treatment With Continuous Positive Airway Pressure After Orthognathic Surgery. Br J Oral Maxillofac Surg. 2010;48(4):e14-5. PubMed PMID: 20071060.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral pneumothorax and pneumomediastinum after treatment with continuous positive airway pressure after orthognathic surgery. AU - Chebel,Naji Abou, AU - Ziade,Dany, AU - Achkouty,Rana, Y1 - 2010/01/13/ PY - 2009/08/17/received PY - 2009/12/13/accepted PY - 2010/1/15/entrez PY - 2010/1/15/pubmed PY - 2010/8/19/medline SP - e14 EP - 5 JF - The British journal of oral & maxillofacial surgery JO - Br J Oral Maxillofac Surg VL - 48 IS - 4 N2 - 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. SN - 1532-1940 UR - https://www.unboundmedicine.com/medline/citation/20071060/Bilateral_pneumothorax_and_pneumomediastinum_after_treatment_with_continuous_positive_airway_pressure_after_orthognathic_surgery_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0266-4356(09)00640-8 DB - PRIME DP - Unbound Medicine ER -