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  • Title: Pneumomediastinum, bilateral pneumothorax, pleural effusion, and surgical emphysema after routine apicectomy caused by vomiting.
    Author: Gulati A, Baldwin A, Intosh IM, Krishnan A.
    Journal: Br J Oral Maxillofac Surg; 2008 Mar; 46(2):136-7. PubMed ID: 17257717.
    Abstract:
    Mediastinal and subcutaneous emphysema may occur after dental and oral surgery as a result of iatrogenic introduction of air or injury to the tracheobronchial tree. We report a patient who developed emphysema and pneumothorax after dentoalveolar surgery, which made diagnosis and management difficult. We suggest that persistent postoperative vomiting caused inhalation of mediastinal and intrathoracic air.
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