Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Subcutaneous Emphysema and Pneumomediastinum After Mandibular Third Molar Extraction: a Case Report

하악 제3대구치 발치 후 병발된 피하기종과 종격동 기종: 증례보고

  • Kim, Duk-Sil (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University) ;
  • Kim, Sung-Wan (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University) ;
  • Byun, Kyung-Hwan (Department of Radiology, CHA Gumi Medical Center, CHA University) ;
  • Kim, Hyun-Su (Department of Dentistry, CHA Gumi Medical Center, CHA University)
  • 김덕실 (차의과학대학교 구미차병원 흉부외과학교실) ;
  • 김성완 (차의과학대학교 구미차병원 흉부외과학교실) ;
  • 변경환 (차의과학대학교 구미차병원 영상의학과교실) ;
  • 김현수 (차의과학대학교 구미차병원 치과학교실)
  • Received : 2010.08.19
  • Accepted : 2010.09.27
  • Published : 2010.11.30
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Abstract

Subcutaneous emphysema and pneumomediastium is a relatively uncommon phenomenon. Most case of pneumomediastium are caused by iatrogenic injury on the cervical region and chest during tracheostomy. It is also well known that emphysema may occur secondary to dental treatment using high-speed air turbine handpiece, but there have been few cases of emphysema extended to involving the mediastinum. These complications are reported to occur mainly in patients after dental procedures, in particular during mandibular third molar extraction. Early recognition and conservative treatment of these problems is essential in preventing life-threatening complications such as airway obstruction, mediastinitis, pneumothorax and cardiac failure. As we report a case of 25-year-old woman with subcutaneous emphysema and pneumomediastium after mandibular third molar extraction using high-speed air turbine handpiece.

Keywords

References

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