Subcutaneous Emphysema and Pneumomediastinum After Mandibular Third Molar Extraction: a Case Report

Clinical, paraclinical images of patients with pneumomediastium tracheoesophageal fistula treated at Department of Respiratory, Bach Mai Hospital

Background: Pneumomediastium Tracheoesophageal Fistula (PTF) is a less common respiratory disease. Recently, the Department of Respiratory at Bach Mai Hospital has identified a number of cases with PTF with x-ray tomography. Objective:(1) To describe clinical - paraclinical symptoms, cause, treatment methods of PTF. (2) Study methods for treating PTF. Subject and Method: A descriptive study included 3 male patients between 45 and 58 years of age. Result: One patient with difficult airway due to abscessed esophageal fistula was treated by surgical therapy. One patient with pyogenic-pneumo was identified with fistula perforation and had surgery. One patient with PTF due to carcinome epidermoide had nutritional gastrostomy. Conclusion:PTF can stem from different causes. In Vietnam, surgical treatment by nutritional gastrostomy is often used but this is a temporary method. 02 stent indwelling (digestive tract and respiratory tract) should be considered if possible. Combination of clinical, CT scan and diagnostic technique will benefit diagnosis and treatment. \r\n', u'\r\n', u'