alexa Facial Trauma With Pneumomediastinum: A Case Report | 71460
ISSN: 2161-1076

Surgery: Current Research
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

6th International Conference and Exhibition on Anesthesia and Surgery

Theadora Forster-Anderson and Grad Dip Surg Anat
Tamalee Henson, Fiona Stanley Hospital, Australia
Posters & Accepted Abstracts: Surgery Curr Res
DOI: 10.4172/2161-1076-C1-033
Abstract
Introduction: Pneumomediastinum with facial trauma is rare and only intermittently described through case reports. Usually it is a complication related to thoracoabdominal trauma as air travels upwards within the fascial planes – see Figure 1 [1,2,3]. When this occurs in the reverse direction, it is often in patients with facial subcutaneous oedema blowing their nose or having pressure ventilation, as this dissects the fascial plane downwards [4]. Most are self-limiting [5]. Case: A 53 year-old man presented with facial trauma of a large open fracture to the right mandible (Figure 2). Routine trauma CXR found pneumomediastinum (Figure 3). The patient was promptly transferred to a tertiary centre. He was monitored in ICU and after cardiothoracic consultation, treated with intravenous antibiotics for potential mediastinitis (cephazolin/ metronidazole). The following day he underwent surgical repair of his facial injuries. Due to contraindication of bag-mask ventilation in pneumomediastinum, it was decided awake fibreoptic intubation would be utilized. Intra- operatively he was found to have full thickness soft palate laceration, tongue laceration, and a deep injury to the posterior pharyngeal wall to prevertebral fascia. Simple closure was performed. This deep wound is the most likely source of pneumomediastinum. Non-viable bone and tissue was debrided from the jaw and reconstructed with plates and screws (Figure 4). The patient wasmonitored in ICU a further 24 hours. CXR on Day 4 showed resolution of pneumomediastinum (Figure 5) and the patient was discharged. He was followed up with Maxillofacial Surgery however has not required further Cardiothoracic input. Conclusion: This case highlights the importance of assessing thoracic injuy in patients with significant orofacial trauma. While reverse pneumomediastinum aetiology is occasionally related to trauma patients blowing their nose, there is also the consideration of direct trauma at a higher level to be considered. All aetiologies must therefore be explored.
Biography

Theadora Forster-Anderson is a surgical registrar practicing in a service role at Fiona Stanley Hospital in Perth, WA. She is interested in the field of general surgery including the evaluation and management of trauma cases. With a background of unaccredited time spent in otolaryngology she has a particular familiarity with facial trauma. Dr Tamalee Henson is a junior medical officer practicing at the same hospital with an interest in orthopaedic surgery.

image PDF   |   image HTML
 

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]com

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7