Subcutaneous emphysema during removal of suture after intraoral surgery

  • Park, Jong-Chan (Dept. of Oral and maxillofacial surgery, School of dentistry, College of Dentistry, Wonkwang University) ;
  • Shin, Hyeon-Seo (Dept. of Oral and maxillofacial surgery, School of dentistry, College of Dentistry, Wonkwang University) ;
  • Son, Jeong-Wan (Dept. of Oral and maxillofacial surgery, School of dentistry, College of Dentistry, Wonkwang University) ;
  • Lee, Jun (Dept. of Oral and maxillofacial surgery, School of dentistry, College of Dentistry, Wonkwang University) ;
  • Kim, Bong-Chul (Dept. of Oral and maxillofacial surgery, School of dentistry, College of Dentistry, Wonkwang University) ;
  • Lim, Hun-Jun (Dept. of Oral and maxillofacial surgery, School of dentistry, College of Dentistry, Wonkwang University)
  • Received : 2018.03.14
  • Accepted : 2018.06.28
  • Published : 2018.07.31

Abstract

Subcutaneous emphysema is relatively rare postoperative complication in the oral and maxillofacial region. Most cases reported in maxillofacial area relate to the use of high-speed handpiece. However, in this case, subcutaneous emphysema was caused by compressed air blow performed during suture removal. Cone-Beam Computed Tomography was conducted to evaluate the extent of diffusion bubbles.. In this report, we describe etiology, diagnosis, prevention and management of subcutaneous emphysema in the maxillofacial area.

Keywords

Acknowledgement

Supported by : Wonkwang University

References

  1. Fleischman D, Davis RM, Lee LB. Subcutaneous and periorbital emphysema following dental procedure. Ophthal Plast Reconstr Surg. 2014;30:e43-e45. https://doi.org/10.1097/IOP.0b013e318295f982
  2. Tomasetti P, Kuttenberger J, Bassetti R. Distinct subcutaneous emphysema following surgical wisdom tooth extraction in a patient suffering from 'Gilles de la Tourette syndrome'. Journal of surgical case reports. 2015;2015:rjv068. https://doi.org/10.1093/jscr/rjv068
  3. Cha YH, Kim BJ, Kim C, Narm KS, Lee DY, Haam SJ. Pneumomediastinum and Subcutaneous Emphysema after Dental Treatment. The Korean Journal of Thoracic and Cardiovascular Surgery. 2010;43:797-799. https://doi.org/10.5090/kjtcs.2010.43.6.797
  4. Romeo U, Galanakis A, Lerario F, Daniele GM, Tenore G, Palaia G. Subcutaneous emphysema during third molar surgery: a case report. Brazilian dental journal. 2011;22:83-86. https://doi.org/10.1590/S0103-64402011000100015
  5. Kim Y, Kim M-R, Kim S-J. Iatrogenic pneumomediastinum with extensive subcutaneous emphysema after endodontic treatment: report of 2 cases. Oral Surg Oral Med Oral Pathol Oral Radiol. 2010;109:e114-e119. https://doi.org/10.1016/j.tripleo.2009.09.013
  6. Steelman RJ, Johannes PW. Subcutaneous emphysema during restorative dentistry. Int J Paediatr Dent. 2007;17:228-229. https://doi.org/10.1111/j.1365-263X.2006.00814.x
  7. Zemann W, Feichtinger M, K?rcher H. Cervicofacial and mediastinal emphysema after crown preparation: a rare complication. Int J Prosthodont. 2007;20:143.
  8. Vargo R, Potluri A, Yeung A, Aldojain A, Bilodeau E. Cervicofacial subcutaneous emphysema: a clinical case and review of the literature. General dentistry. 2016;64:68-71.
  9. Bilecenoglu B, Onul M, Altay OT, Sakul BU. Cervicofacial emphysema after dental treatment with emphasis on the anatomy of the cervical fascia. Journal of Craniofacial Surgery. 2012;23:e544-e548. https://doi.org/10.1097/SCS.0b013e31825aef02
  10. 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. 2009;107:e33-e38. https://doi.org/10.1016/j.tripleo.2008.12.019
  11. McKenzie WS, Rosenberg M. Iatrogenic subcutaneous emphysema of dental and surgical origin: a literature review. J Oral Maxillofac Surg. 2009;67:1265-1268. https://doi.org/10.1016/j.joms.2008.12.050
  12. Fruhauf J, Weinke R, Pilger U, Kerl H, Mullegger RR. Soft tissue cervicofacial emphysema after dental treatment: report of 2 cases with emphasis on the differential diagnosis of angioedema. Arch Dermatol. 2005;141:1437-1440.
  13. Yoshimoto A, Mitamura Y, Nakamura H, Fujimura M. Acute dyspnea during dental extraction. Respiration. 2002;69:369-371. https://doi.org/10.1159/000063258
  14. Reznick JB, Ardary WC. Cervicofacial subcutaneous air emphysema after dental extraction. J Am Dent Assoc. 1990;120:417-419. https://doi.org/10.14219/jada.archive.1990.0128