Iatrogenic subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration.
10.5125/jkaoms.2017.43.1.49
- Author:
Sang Woon LEE
1
;
Yoon Hyuk HUH
;
Min Sang CHA
Author Information
1. Department of Dentistry, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. sangwoone@hanmail.net
- Publication Type:Case Report
- Keywords:
Subcutaneous emphysema;
Mediastinal emphysema
- MeSH:
Dentists;
Emphysema*;
Hand;
Humans;
Mediastinal Emphysema*;
Mediastinum;
Neck;
Pneumothorax;
Subcutaneous Emphysema;
Thorax
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2017;43(1):49-52
- CountryRepublic of Korea
- Language:English
-
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.
