DOI QR코드

DOI QR Code

Pneumomediastinum and Subcutaneous Emphysema after Dental Treatment

치과 수술 후 발생한 종격동 기종과 피하기종

  • Cha, Yong-Hoon (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Kim, Bum-Joon (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Kim, Chang-Wan (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Narm, Kyoung-Shik (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Doo-Yun (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Haam, Seok-Jin (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 차용훈 (연세대학교 치과대학 강남세브란스병원 구강악안면외과학교실) ;
  • 김범준 (연세대학교 치과대학 강남세브란스병원 구강악안면외과학교실) ;
  • 김창완 (연세대학교 치과대학 강남세브란스병원 흉부외과학교실) ;
  • 남경식 (연세대학교 치과대학 강남세브란스병원 흉부외과학교실) ;
  • 이두연 (연세대학교 치과대학 강남세브란스병원 흉부외과학교실) ;
  • 함석진 (연세대학교 치과대학 강남세브란스병원 흉부외과학교실)
  • Received : 2010.09.15
  • Accepted : 2010.11.12
  • Published : 2010.12.05

Abstract

The pneumomediastinum after a dental treatment occurs rarely and shows almost good prognosis, however it is potentially life-threatening complication. Here we report a case of pneumomediastinum, occurred by air bubbles originated from dental high speed equipment, via head and neck fascial space with literatures review.

치과 시술 후 발생하는 종격동 기종은 비록 발생 비율이 낮고 예후가 양호하지만 잠재적으로 생명을 위협하는 합병증을 초래할 수도 있다. 저자들은 치과 치료 시에 고속 핸드피스에 의해 발생한 공기가 두경부 근막 공간을 통해 종격동까지 전파된 증례를 치험 하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Karras SC, Sexton JJ. Cervicofacial and mediastinal emphysema as the result of a dental procedure. J Emerg Med 1996;14:9-13. https://doi.org/10.1016/0736-4679(95)02037-3
  2. Chen SC, Lin FY, Chang KJ. Subcutaneous emphysema and pneumomediastinum after dental extraction. Am J Emerg Med 1999;17:678-80. https://doi.org/10.1016/S0735-6757(99)90158-4
  3. Jun HJ, Hahm SY, Sung SC, Kim YS. Pneumomediastinum and subcutaneous emphysema produced by air turbine dental drill. Korean J Thorac Cardiovasc Surg 1991;24:1225-7.
  4. St-Hilaire H, Montazem AH, Diamond J. Pneumomediastinum after orthognathic surgery. J Oral Maxillofac Surg 2004;62: 892-4. https://doi.org/10.1016/j.joms.2003.08.037
  5. Sekine J, Irie A, Dotsu H, Inokuchi T. Bilateral pneumothorax with extensive subcutaneous emphysema manifested during third molar surgery. A case report. Int J Oral Maxillofac Surg 2000;29:355-7. https://doi.org/10.1016/S0901-5027(00)80051-X
  6. Reckles NH, Joslic BA. Death from air embolism during root canal therapy. J Am Dent Assoc 1963;67:397.
  7. Arai I, Aoki T, Yamazaki H, Ota Y, Kaneko A. Pneumomediastinum and subcutaneous emphysema after dental extraction detected incidentally by regular medical checkup: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e33-8. https://doi.org/10.1016/j.tripleo.2008.12.019
  8. Feinstone T. Infected subcutaneous emphysema: report of case. J Am Dent Assoc 1971;83:1309-11