악교정수술 후 발생한 종격기종과 기흉: 증례보고
Pneumomediastinum and pneumothorax after orthognathic surgery : A Case Report
김한림, 윤경인, 최영준, 손동섭,
소속 상세정보
김한림 ( Kim Han-Lim ) - 중앙대학교 의과대학 구강악안면외과학교실
윤경인 ( Yun Kyoung-In ) - 중앙대학교 의과대학 구강악안면외과학교실
최영준 ( Choi Young-Jun ) - 중앙대학교병원 치과센터 구강악안면외과
손동섭 ( Sohn Dong-Suep ) - 중앙대학교 의과대학 흉부외과학교실
KMID : 0360120100320030246
Abstract
Mediastinal emphysema, also referred to as pneumomediastinum or Hamman’s syndrome, is defined as the presence of air or gas within the fascial planes of the mediastinum. Superior extension of air into the cervicofacial subcutaneous space via communications between the mediastinum and cervical fascial planes or spaces occurs occasionally. The mediastinal air may originate from the respiratory tract, the intrathoracic airway, the lung parenchyma, or the gastrointestinal tract. The presence of air in the mediastinum may be spontaneous, iatrogenic or due to penetrating trauma. Pneumothorax is defined as the presence of air or gas within the pleural cavity. A pneumothorax can occur spontaneously. It can also occur as the result of a disease or injury to the lung or due to a puncture to the chest wall. Pneumomediastinum and pneumothorax is a rare complication of head and neck surgery. Nevertheless, when it occurs, it is usually considered to result from direct dissection by the air at the time of injury or of surgery. Most of the cases of pneumomediastinum and pneumothorax that have been described in the oral and maxillofacial surgery literature result from air dissecting down the fascial planes of the neck. The authors report a case with subcutaneous emphysema, pneumomediastinum and pneumothorax after orthognathic surgery.
키워드
Pneumomediastinum; Pneumothorax; Orthognathic surgery
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