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We report the case of an 18-year-old girl who had pneumothorax two days after bimaxillary osteotomy to correct a severe Class II malocclusion. Chest radiograph showed left-sided pneumothorax with complete collapse of the underlying lung and mediastinal shift to the left. A chest drain was inserted and she made an uneventful recovery. The aetiology may be iatrogenic or spontaneous, but we have found...