A Facial Subcutaneous Emphysema after Using a Fish Cake Skewer: Case Report

어묵꼬치에 찔려 발생한 안면부 피하기종: 증례보고

  • Park, Soo Jin (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Chi, Yang Hyun (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Sung Hoon (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
  • 박수진 (성균관의대 삼성창원병원 소아청소년과학교실) ;
  • 지양현 (성균관의대 삼성창원병원 소아청소년과학교실) ;
  • 김성훈 (성균관의대 삼성창원병원 소아청소년과학교실)
  • Received : 2015.05.08
  • Accepted : 2015.10.04
  • Published : 2015.09.30

Abstract

Cervicofacial subcutaneous emphysema is a rare complication mainly resulting from dental procedures. The majority of cases are self-limiting and benign in clinical nature. However, although entry sites may be quite small and superficial, it can result in potential respiratory difficulties, such as pneumothorax and pneumomediastinum. We present the first case in which facial subcutaneous emphysema developed in a 6-year-old boy following use of a fish cake skewer while eating.

Keywords

References

  1. Smatt Y, Browaeys H, Genay A, Raoul G, Ferry J. Iatrogenic pneumomediastinum and facial emphysema after endodontic treatment. Br J Oral Maxillofac Surg 2004; 42: 160-2. https://doi.org/10.1016/S0266-4356(03)00240-7
  2. Guest PG, Henderson S. Surgical emphysema of the mediastinum as a consequence of attempted extraction of a third molar tooth using an air turbine drill. Br Dent J 1991; 171: 283-4. https://doi.org/10.1038/sj.bdj.4807693
  3. Paquette M, Terezhalmy GT, Moore WS. Subcutaneous emphysema. Quintessence Int 2002; 33: 478-9.
  4. Law ST, Wong KC, Tse CF. Cervical subcutaneous emphysema and pneumomediastinum after sneezing. Hong Kong Med J 2013; 19: 188.e3-4.
  5. Yamada H, Kawaguchi K, Tamura K, Sonoyama T, Iida N, Seto K. Facial emphysema caused by cheek bite. Int J Oral Maxillofac Surg 2006; 35: 188-9. https://doi.org/10.1016/j.ijom.2005.07.001
  6. Szubin L, La Bruna A, Levine J, Komisar A. Subcutaneous and retropharyngeal emphysema after dental procedures. Otolaryngol Head Neck Surg 1997; 117: 122-3. https://doi.org/10.1016/S0194-5998(97)70219-5
  7. Schakelford D, Casani JA. Diffuse subcutaneous emphysema, pneumomediastinum and pneumothorax after dental extraction. Ann Emerg Med 1993; 22: 248-50. https://doi.org/10.1016/S0196-0644(05)80214-8
  8. Karras SC, Sexton JJ. Cervicofacial and mediastinal emphysema as the result of a dental procedure. J Emerg Med 1996; 13: 9-13. https://doi.org/10.1136/emj.13.1.9
  9. Buckley MJ, Turvey TA, Schumann SP, Grimson BS. Orbital emphysema causing vision loss after a dental extraction. J Am Dent Assoc 1990; 120: 421-2. https://doi.org/10.14219/jada.archive.1990.0122
  10. Andrew J Mather, Andre A Stoykewych, John B Curran. Cervicofacial and mediastinal emphysema complicating a dental procedure. J Can Dent Assoc 2006; 72: 565-8.
  11. Vidal F, Torre L, Gonazalez J, Nualart L. More on adult spontaneous pneumomediastinum. Acrh Intern Med 1985; 145: 762-3. https://doi.org/10.1001/archinte.1985.00360040202049
  12. Durukan P, Salt O, Ozkan S, Durukan B, Kavalci C. Cervicofacial emphysema and pneumomediastinum after a high-speed air drill endodontic treatment procedure. Am J Emerg Med. 2012; 30: 2095.e3-6.
  13. McHugh T. Pneumomediastinum following penetrating oral trauma. Pediatr Emerg Care 1997; 13: 211-3. https://doi.org/10.1097/00006565-199706000-00008
  14. Torres-Melero J, Arias-Diaz J, Balibrea JL. Pneumomediastinum secondary to use of a high speed turbine drill during a dental extraction. Thorax 1996; 51: 339-40. https://doi.org/10.1136/thx.51.3.339
  15. Davies JM, Campbell LA. Fatal air embolism during dental implant surgery: a report of three cases. Can J Anaesth 1990; 37: 112-21. https://doi.org/10.1007/BF03007491