Le Fort I 型骨切り術後に生じた皮下気腫の1例 A case of subcutaneous emphysema developing after Le Fort I osteotomy

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著者

    • 菊池 剛 KIKUCHI Tsuyoshi
    • 東京医科歯科大学大学院医歯学総合研究科口腔機能再構築学系口腔機能再建学講座顎口腔外科学分野 Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
    • 森田 圭一 MORITA Kei-ichi
    • 東京医科歯科大学大学院医歯学総合研究科口腔機能再構築学系口腔機能再建学講座顎口腔外科学分野 Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
    • 樺沢 勇司 [他] KABASAWA Yuji
    • 東京医科歯科大学大学院医歯学総合研究科口腔機能再構築学系口腔機能再建学講座顎口腔外科学分野 Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
    • 小村 健 OMURA Ken
    • 東京医科歯科大学大学院医歯学総合研究科口腔機能再構築学系口腔機能再建学講座顎口腔外科学分野 Oral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University

抄録

A case of subcutaneous emphysema of the face and neck region caused by nose blowing after Le Fort I osteotomy is reported.<br>A 28-year-old woman presented at our hospital because of masticatory and esthetic impairment. She was given a diagnosis of open bite retrognathia. After preoperative orthodontic treatment, Le Fort I osteotomy and bilateral sagittal split ramus osteotomy were performed. After she strongly blew her nose on the second postoperative day,swelling of the left lower eyelid with difficulty in eye opening occurred.<br>A computed tomographic (CT) scan revealed low-density areas in the subcutaneous tissue of the face to the anterior neck region, and a diagnosis of subcutaneous emphysema was made.<br>She was given antibiotics for 8 days to prevent infection. Her clinical course improved, and a CT scan obtained on the 8th day showed no free air remaining in the head and neck region.<br>We believe that the medical personnel should be fully aware of the risk of subcutaneous emphysema following Le Fort I osteotomy. Patients should be explained the reason why certain actions should be avoided to minimize complications.

A case of subcutaneous emphysema of the face and neck region caused by nose blowing after Le Fort I osteotomy is reported.<br>A 28-year-old woman presented at our hospital because of masticatory and esthetic impairment. She was given a diagnosis of open bite retrognathia. After preoperative orthodontic treatment, Le Fort I osteotomy and bilateral sagittal split ramus osteotomy were performed. After she strongly blew her nose on the second postoperative day,swelling of the left lower eyelid with difficulty in eye opening occurred.<br>A computed tomographic (CT) scan revealed low-density areas in the subcutaneous tissue of the face to the anterior neck region, and a diagnosis of subcutaneous emphysema was made.<br>She was given antibiotics for 8 days to prevent infection. Her clinical course improved, and a CT scan obtained on the 8th day showed no free air remaining in the head and neck region.<br>We believe that the medical personnel should be fully aware of the risk of subcutaneous emphysema following Le Fort I osteotomy. Patients should be explained the reason why certain actions should be avoided to minimize complications.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 57(3), 124-127, 2011-03-20

    社団法人 日本口腔外科学会

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各種コード

  • NII論文ID(NAID)
    10030271669
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    11052187
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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