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Pneumomediastinum secondary to a mandible fracture
T J Haberkamp1, H L Levine, G O'Brien
1Department of Otolaryngology and Human Communication, Medical College of Wisconsin, Milwaukee.
Abstract:
Pneumomediastinum may be produced by a simple facial fracture. It may also be a sign of other aerodigestive tract injuries, and this possibility should be ruled out. A minimal patient workup should include panendoscopy and soft tissue neck x-ray films in all cases. If no other injuries are found, resolution of the pneumomediastinum may be expected without further treatment.
Insights
Facial fractures can cause pneumomediastinum, a condition that may indicate aerodigestive tract injuries. Ruling out these injuries with imaging and endoscopy is crucial for appropriate patient management.
Area of Science:
- Medical imaging
- Trauma surgery
- Otolaryngology
Background:
- Pneumomediastinum, the presence of air in the mediastinum, can be a complication of facial fractures.
- It is essential to consider associated aerodigestive tract injuries in patients with pneumomediastinum secondary to facial trauma.
Observation:
- Facial fractures are identified as a potential cause of pneumomediastinum.
- The study highlights the importance of evaluating for concurrent aerodigestive tract injuries.
Findings:
- A recommended minimal workup includes panendoscopy and soft tissue neck X-rays for all patients presenting with pneumomediastinum and facial fractures.
- In the absence of other identified injuries, pneumomediastinum is expected to resolve spontaneously without specific intervention.
Implications:
- Prompt diagnosis and appropriate workup can prevent complications arising from missed aerodigestive tract injuries.
- This approach ensures that patients receive necessary treatment for associated injuries while avoiding unnecessary interventions for isolated pneumomediastinum.