• Title/Summary/Keyword: Subcutaneous Emphysema

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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;Kim, Sung-Wan;Byun, Kyung-Hwan;Kim, Hyun-Su
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.6
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    • pp.597-599
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    • 2010
  • 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.

A Facial Subcutaneous Emphysema after Using a Fish Cake Skewer: Case Report (어묵꼬치에 찔려 발생한 안면부 피하기종: 증례보고)

  • Park, Soo Jin;Chi, Yang Hyun;Kim, Sung Hoon
    • Journal of Trauma and Injury
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    • v.28 no.3
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    • pp.206-210
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    • 2015
  • 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.

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Vacuum-Assisted Closure Therapy as an Alternative Treatment of Subcutaneous Emphysema

  • Byun, Chun Sung;Choi, Jin Ho;Hwang, Jung Joo;Kim, Do Hyung;Cho, Hyun Min;Seok, June Pill
    • Journal of Chest Surgery
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    • v.46 no.5
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    • pp.383-387
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    • 2013
  • Vacuum-assisted closure therapy is an alternative method for a massive subcutaneous emphysema treatment. It is easily applicable and shows rapid effectiveness in massive subcutaneous emphysema, intractable with chest tube drainage.

Subcutaneous emphysema during fracture line inspection: case report (파절선 관찰 도중 발생한 피하기종: 증례보고)

  • Kim, Min-Young;Park, Sung-Ho;Shin, Yoo-Seok;Kim, Eui-Seong
    • Restorative Dentistry and Endodontics
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    • v.36 no.6
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    • pp.506-509
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    • 2011
  • The development of subcutaneous emphysema is a well-known complication that has been reported after dental extraction, endodontic treatment, or restorative preparation. Gaseous invasion, leading to swelling, crepitus on palpation, is commonly restricted to the connective tisssues immediately adjacent to the entry site. However, the use of compressed air- and water-cooled turbines may allow large amounts of air and water to be driven through the fascial planes into the mediastinum, pleural space, or even the retroperitoneum. This case report is about the patient who presented with subcutaneous emphysema that occurred after fracture line inspection. Possible cause, treatment, and prevention of emphysema will be discussed.

Two Cases of Subcutaneous Emphysema and Pneumomediastinum caused by Oral Trauma (구강외상 후 발생된 피하기종과 기종격동 2예)

  • Kim Chul-Ho;Mo Jung Yun
    • Korean Journal of Bronchoesophagology
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    • v.10 no.2
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    • pp.58-62
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    • 2004
  • Spontaneous rupture of the pulmonary alveoli after a sudden increase intra-alveolar pressure is a common cause of pneumomediastinum, which is usually seen in healthy young men. Other common causes are traumatic and iatrogenic rupture of the airway and esophagus; however, pneumomediastinum following cervicofacial emphysema is much rarer and is occasionally found after dental surgical procedures, head and neck surgery, or accidental trauma. We present two cases of pneumomediastinum following cervicofacial subcutaneous emphysema after oral trauma. They constitute an uncommon clinical entity, So its radiologic appearance, clinical presentation, and diagnosis are described.

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A Case of Measles Pneumonia Complicated by Subcutaneous Emphysema and Pneumomediastinum in an 18-year-old Patient (피하기종과 종격기종을 동반한 홍역성 폐렴 1예)

  • Park, Jae-Hyeong;Lee, Yun-Jung;Kang, Ho-Hyung;Kim, Sun-Jong;Koh, Y.S.;Lim, C.M.
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.3
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    • pp.275-280
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    • 2001
  • Background : A 18 year-old man presented with dyspnea and a swelling of the neck. On physical examination, maculopapular rashes were noted on the face and the whole body and crepitus was noted at the thorax and upper arms. His chest X -ray showed bilateral interstitial infiltrates of the lung, pneumomediastinum and subcutaneous emphysema. On serologic examination, measles IgM was positive. Under the diagnosis of measles pneumonia, the patient was treated with oral ribavirin, which resulted in a complete resolution of the pneumomediastinum, subcutaneous emphysema, pneumonic infiltrate, and subjective symptoms of dyspnea and swelling of the neck in 7 days. Here we report this case with a brief review of the relevant literature.

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A Case of Nonspecific Interstitial Pneumonia Complicated with Spontaneous Pneumomediastinum, Subcutaneous Emphysema and Pneumatosis Interstinalis (비특이성 간질성 폐렴에서 발생한 자발성 종격동기종, 피하기종과 대장기종)

  • Park, Myung Jae
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.2
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    • pp.138-143
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    • 2008
  • Pneumatosis intestinalis or spontaneous pneumomediastinum are rarely associated with nonspecific interstitial pneumonia (NSIP). However, the development of both conditions in the same patient simultaneously has not been reported previously. A 56-year-old man with NSIP developed spontaneous pneumomediastinum accompanied by subcutaneous emphysema and pneumatosis intestinalis after the treatment with intravenous high dose steroid. The development of spontaneous pneumomediastinum, subcutaneous emphysema and pneumatosis intestinalis in this patient was possibly due to the factors such as NSIP, high dose steroid therapy and subclinical dermatomyositis. Treatment with corticosteroid and cyclosporin gradually improved his exacerbated NSIP and pneumomediastinum, subcutaneous emphysema, pneumatosis intestinalis.

Deflation Treatment for Subcutaneous Emphysema in a Goffin Cockatoo(Cacatua goffini) (피하 기종에 이환된 고핀 앵무새(Goffin Cockatoo, Cacatua Goffini)에서의 디플레이션 처치)

  • Lee, So-Young;Kim, Ha-Jung;Kim, Ju-Won
    • Journal of Veterinary Clinics
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    • v.28 no.5
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    • pp.519-521
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    • 2011
  • A 1-year-old Goffin cockatoo (Cacatua goffini) presented a soft non-painful and balloon-like mass around the cervical area. Subcutaneous emphysema due to cervicocephalic air sac trauma was diagnosed based on history and physical examination, and was confirmed by radiographic examination. Because the cutaneous tab was unsuccessful, a modified syringe stent was carried out. The bird showed no adverse signs for two weeks after implantation. After surgical removal of the stent, the bird did not reveal subcutaneous emphysema.

Epidural emphysema and pneumoscrotum caused by bronchial foreign body aspiration (기관지 이물에 의해 발생한 경막외기종 및 고환기종 1례)

  • Kim, Dong-Yeon;Choi, Woo-Yeon;Cho, Young-Kuk;Ma, Jae-Sook
    • Clinical and Experimental Pediatrics
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    • v.50 no.8
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    • pp.785-788
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    • 2007
  • Epidural emphysema and pneumoscrotum with subcutaneous emphysema are rare in a child past the neonatal period. Their most common causes are bronchial asthma and respiratory infection. Here, we report an 18-month-old boy who was presented with severe air leak, consisting of epidural emphysema, pneumoscrotum, subcutaneous emphysema, and pneumomediastinum, complicated by a bronchial foreign body. The air leak was resolved dramatically after removing the foreign body.

Pneumoparotitis

  • House, Laura Kathryn;Lewis, Andrea Furr
    • Clinical and Experimental Emergency Medicine
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    • v.5 no.4
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    • pp.282-285
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    • 2018
  • The objective is to review a case of pneumoparotitis and to discuss how knowledge of this unique presentation is important when making differential diagnoses in emergency medicine. A patient with recurrent subcutaneous emphysema of the head and neck is reviewed. Stenson's duct demonstrated purulent discharge. Physical examination revealed palpable crepitance of the head and neck. Fiberoptic laryngoscopy and barium esophagram were normal. Computed tomography demonstrated left pneumoparotitis and subcutaneous emphysema from the scalp to the clavicles. This is an unusual presentation of pneumoparotitis and malingering. Emergency physicians should be aware of pneumoparotitis and its presentation when creating a differential diagnosis for pneumomediastinum, which includes more life-threatening diagnoses such as airway or esophageal injuries.