J. F. Piecuch and R. A. West, “Spontaneous Pneumomediastinum Associated with Orthognathic Surgery. A Case Report,” Oral Surgery, Oral Medicine and Oral Pathology, Vol. 48, No. 6, 1979, pp. 506-508.

has been cited by the following article:

• TITLE: Pneumomediastinum after Orthognathic Surgery: Case Report and Review of the Literature

  AUTHORS: Susanne Jung, Thomas Prien, Claudia Rudack, Johannes Kleinheinz

  KEYWORDS: Pneumomediastinum; Pneumothorax; Mediastinal Emphysema; Orthognathic Surgery; Complication

  JOURNAL NAME: International Journal of Otolaryngology and Head & Neck Surgery, Vol.2 No.2, March 29, 2013

  ABSTRACT: Orthognathic surgery in general addresses young patients and aims to improve their bite function and to harmonize their facial aesthetics. Secure surgical standards and a defined post-surgical protocol of after-care are indispensable to reduce surgical as well as anaesthesiological risks in this area of complex elective surgery. The development of pneumomediastinum is a rare incident but threatens the patients’ physical integrity. The case of a young healthy male who underwent Le Fort I osteotomy in combination with bilateral mandibular sagittal split osteotomy and postoperatively developed pneumomediastinum is presented, together with a discussion of the possible reasons for this rare complication of orthognathic surgery. The avoidance of life-threatening coincidences must be one main focus in the preparation and aftercare in elective orthognathic surgery.