Browse > Article
http://dx.doi.org/10.5125/jkaoms.2017.43.1.49

Iatrogenic subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration  

Lee, Sang-Woon (Department of Dentistry, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Huh, Yoon-Hyuk (Department of Prosthodontics and Research Institute of Oral Science, Gangneung-Wonju National University)
Cha, Min-Sang (Department of Dentistry, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.43, no.1, 2017 , pp. 49-52 More about this Journal
Abstract
Subcutaneous facial emphysema after dental treatment is an uncommon complication caused by the invasion of high-pressure air; in severe cases, it can spread to the neck, mediastinum, and thorax, resulting in cervical emphysema, pneumomediastinum, and pneumothorax. The present case showed subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration. The patient was fully recovered after eight days of conservative treatment. The cause of this case was the penetration of high-pressure air through the gingival sulcus, which had a weakened gingival attachment. This case indicated that dentists should be careful to prevent subcutaneous emphysema during common dental treatments using a high-speed hand piece and gingival retraction cord.
Keywords
Subcutaneous emphysema; Mediastinal emphysema;
Citations & Related Records
연도 인용수 순위
  • Reference
1 McKenzie WS, Rosenberg M. Iatrogenic subcutaneous emphysema of dental and surgical origin: a literature review. J Oral Maxillofac Surg 2009;67:1265-8.   DOI
2 Heyman SN, Babayof I. Emphysematous complications in dentistry, 1960-1993: an illustrative case and review of the literature. Quintessence Int 1995;26:535-43.
3 Kung JC, Chuang FH, Hsu KJ, Shih YL, Chen CM, Huang IY. Extensive subcutaneous emphysema after extraction of a mandibular third molar: a case report. Kaohsiung J Med Sci 2009;25:562-6.   DOI
4 Smatt Y, Browaeys H, Genay A, Raoul G, Ferri J. Iatrogenic pneumomediastinum and facial emphysema after endodontic treatment. Br J Oral Maxillofac Surg 2004;42:160-2.   DOI
5 Chan DC, Myers T, Sharaway M. A case for rubber dam application--subcutaneous emphysema after Class V procedure. Oper Dent 2007;32:193-6.   DOI
6 Zemann W, Feichtinger M, Karcher H. Cervicofacial and mediastinal emphysema after crown preparation: a rare complication. Int J Prosthodont 2007;20:143-4.
7 Reiche-Fischel O, Helfrick JF. Intraoperative life-threatening emphysema associated with endotracheal intubation and air insufflation devices: report of two cases. J Oral Maxillofac Surg 1995;53:1103-7.   DOI
8 Maestrello CL, Campbell RL, Campbell JR. Pneumothorax with soft tissue emphysema following abrupt wake-up and self-extubation. Anesth Prog 2001;48:27-31.
9 Olate S, Assis A, Freire S, de Moraes M, de Albergaria-Barbosa JR. Facial and cervical emphysema after oral surgery: a rare case. Int J Clin Exp Med 2013;6:840-4.
10 Horowitz I, Hirshberg A, Freedman A. Pneumomediastinum and subcutaneous emphysema following surgical extraction of mandibular third molars: three case reports. Oral Surg Oral Med Oral Pathol 1987;63:25-8.   DOI
11 Snyder MB, Rosenberg ES. Subcutaneous emphysema during periodontal surgery: report of a case. J Periodontol 1977;48:790-1.   DOI
12 Athanassiadi KA. Infections of the mediastinum. Thorac Surg Clin 2009;19:37-45.   DOI
13 Ali A, Cunliffe DR, Watt-Smith SR. Surgical emphysema and pneumomediastinum complicating dental extraction. Br Dent J 2000;188:589-90.