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- Stefan Loretan and Paolo Scolozzi.
- Service of Oral and Maxillofacial Surgery, Department of Surgery, Hôpitaux Universitaire de Genève, Faculty of Medicine, Geneva, Switzerland. stefan.loretan@hcuge.ch
- J Craniofac Surg. 2011 Jul 1;22(4):1502-3.
AbstractPneumomediastinum (PM) secondary to an isolated orbital blow-out fracture is a rare but potentially severe and life-threatening complication. Fortunately, airway obstruction, pneumothorax, pneumopericardium, and mediastinitis are rare complications of PM. Blowing the nose after a maxillofacial trauma increases pressure in the paranasal sinuses, which may lead to emphysema through a breach of the lining mucosa to the surrounding soft tissues in the head, neck, and, on occasions, to the mediastinum. We report here the rare case of a patient with PM after isolated orbital fracture. Only 3 similar cases have been previously reported in the literature.
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