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Case Reports
. 2008 Mar;46(2):136-7.
doi: 10.1016/j.bjoms.2006.11.008. Epub 2007 Jan 25.

Pneumomediastinum, bilateral pneumothorax, pleural effusion, and surgical emphysema after routine apicectomy caused by vomiting

Archita Gulati  1 , Andrew Baldwin, Ian Mc Intosh, A Krishnan
Affiliations
Case Reports

Pneumomediastinum, bilateral pneumothorax, pleural effusion, and surgical emphysema after routine apicectomy caused by vomiting

Archita Gulati et al. Br J Oral Maxillofac Surg. 2008 Mar.

Abstract

Mediastinal and subcutaneous emphysema may occur after dental and oral surgery as a result of iatrogenic introduction of air or injury to the tracheobronchial tree. We report a patient who developed emphysema and pneumothorax after dentoalveolar surgery, which made diagnosis and management difficult. We suggest that persistent postoperative vomiting caused inhalation of mediastinal and intrathoracic air.

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