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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY

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Official Journal of the Italian Society of Maxillofacial Surgery


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Rivista Italiana di Chirurgia Maxillo-Facciale 2002 April;13(1):39-43

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: English

Pneumomediastinum associated with cranio-maxillo-facial trauma. A case report

Roccia F. 1, Griffa A. 1, Berardino M. 2

1 Maxillofacial Surgery Division 2 Anaesthesia and Intensive Care Unit II, Neuro-Intensive Care, San Giovanni Battista Hospital, University of Turin, Turin


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In ­the max­il­lo-­facial ­area, sub­cu­ta­ne­ous emphy­se­ma, ­which ­occurs fol­low­ing frac­tures involv­ing ­the par­a­na­sal sinus­es, is a com­mon occur­rence in ­the ­day-to-­day prac­tice of ­the max­il­lo­fa­cial sur­geon. Pneumo-mediastinum sec­on­dary to ­this ­type of frac­ture is ­less fre­quent, ­unless ­there ­are tho­rac­ic or abdom­i­nal inju­ries. A ­case is report­ed of cer­vi­co-­facial sub­cu­ta­ne­ous emphy­se­ma fol­lowed by pneu­mo­med­i­as­ti­num, ­which ­occurred ­after ­severe cra­nio-max­il­lo-­facial trau­ma. The aetio­lo­gy, diag­no­sis ­and treat­ment modal­ities of med­i­as­ti­nal emphy­se­ma ­are dis­cussed.

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