TRAUMATIC SUBCUTANEOUS EMPHYSEMA AND PNEUMOMEDIASTINUM AFTER FACIAL INJURY

안면부 손상후 발생한 외상성 피하기종과 기종격

Subcutaneous emphysema on the head, neck, and pneumomediastinum are, abnomal but well-documented, presence of air in the subcutaneous tissue and mediastinum, and can be diagnosed by palpation of the soft tissues, lateral or crosstable cervical radiograph and upright chest radiograph. The common clinical features of cervical emphysema and pneumomediastinum were facial and cervical swelling, presence of crepitation on palpation of the soft tissue, and retrosternal pain. Subcutaneous emphysema may arise from use of high-speed air turbine drills, facial trauma, trachea bronchial tear, endotracheal intubation, mechanical ventilation, chest injury, tracheostomy, following Lefort I osteotomy, and spontaneously. Symptoms of subcutaneous emphysema and pneumomediastium are generally self-limiting and eventually subside with conservative therapy. As we report a case of traumatic subcutaneous emphysema and pneumomediastinum after facial injury with clinical presentation and treatment consideration.

본원에서는 안면부 손상후 발생한 피하기종과 기종격이 있는 두 환자를 치험하였다. 다른부위 손산 없이 단독으로 안면부 손상후 발생한 피하기종과 기종격은 예후가 좋고 자연치유가 잘되지만 심각한 합병증 및 후유증을 방지하기 위하여 세심한 관찰 및 보존적 처치가 요구된다. 이에 저자들은 증상, 진단. 해부학적구조, 발생가전, 합병증, 치료양식등의 문헌고찰과 더불어 치험 증례를 보고 하는 바이다.