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Official Journal of the Italian Society of Maxillofacial Surgery
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
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.