Subcutaneous emphysema related to dental procedures
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Objectives: The objective of this study was to analyze 11 cases of subcutaneous emphysema associated with dental procedures froma single hospital and discuss approaches for accurate diagnosis and treatment of the condition. Materials and Methods: The medical records of 11 patients who were treated for subcutaneous emphysema related to dental procedures between January 2009 and April 2017 were analyzed retrospectively. Patients with subcutaneous emphysema within the facial areaor that spread to the neck and beyond, including the facial region, were assigned to two groups and compared in terms of age, sex, and durations of antibiotic use, hospitalization, and follow-up until improvement. The correlation between location of the origin tooth and range of emphysema spread was analyzed. Results: The average durations of antibiotic use during conservative treatment and follow-up until improvement were 8.55 days (standard deviation [SD], 4.46 days) and 1.82 weeks (SD, 1.19 weeks), respectively. There was no intergroup difference in duration of antibiotic use (P=0.329) or followup (P=0.931). Subcutaneous emphysema was more common after dental procedures involving the maxilla or posterior region than after those involving the mandible or anterior region. There was no significant difference in air distribution according to location of the air orifice (maxilla, mandible, or both; P=0.106). Conclusion: Upon adequate conservative treatment accompanied by prophylactic antibiotic treatment considering the risk of infection,patients showed signs of improvement within a few days or weeks. There was no significant difference in treatment period between patients with subcutaneous emphysema localized to the facial region and those with subcutaneous emphysema spreading to the neck orbeyond. These findings need to be confirmed by analysis of additional cases.
Abstract
Objectives: The objective of this study was to analyze 11 cases of subcutaneous emphysema associated with dental procedures froma single hospital and discuss approaches for accurate diagnosis and treatment of the condition. Materials and Methods: The medical records of 11 patients who were treated for subcutaneous emphysema related to dental procedures between January 2009 and April 2017 were analyzed retrospectively. Patients with subcutaneous emphysema within the facial areaor that spread to the neck and beyond, including the facial region, were assigned to two groups and compared in terms of age, sex, and durations of antibiotic use, hospitalization, and follow-up until improvement. The correlation between location of the origin tooth and range of emphysema spread was analyzed. Results: The average durations of antibiotic use during conservative treatment and follow-up until improvement were 8.55 days (standard deviation [SD], 4.46 days) and 1.82 weeks (SD, 1.19 weeks), respectively. There was no intergroup difference in duration of antibiotic use (P=0.329) or followup (P=0.931). Subcutaneous emphysema was more common after dental procedures involving the maxilla or posterior region than after those involving the mandible or anterior region. There was no significant difference in air distribution according to location of the air orifice (maxilla, mandible, or both; P=0.106). Conclusion: Upon adequate conservative treatment accompanied by prophylactic antibiotic treatment considering the risk of infection,patients showed signs of improvement within a few days or weeks. There was no significant difference in treatment period between patients with subcutaneous emphysema localized to the facial region and those with subcutaneous emphysema spreading to the neck orbeyond. These findings need to be confirmed by analysis of additional cases.
참고문헌 (24)
- Neville BW, "Oral and maxillofacial pathology" (2015), Elsevier Health Sciences
- Mather AJ, "Cervicofacial and mediastinal emphysema complicating a dental procedure", J Can Dent Assoc, 72, pp.565~568 (2006)
- Cardo VA Jr, "Iatrogenic dental-air emphysema: report of case", J Am Dent Assoc, 85, pp.144~147 (1972)[DOI]
- Horowitz I, "Pneumomediastinum and subcutaneous emphysema following surgical extraction of mandibular third molars: three case reports", Oral Surg Oral Med Oral Pathol, 63, pp.25~28 (1987)[DOI]
- Shackelford D, "Diffuse subcutaneous emphysema, pneumomediastinum, and pneumothorax after dental extraction", Ann Emerg Med, 22, pp.248~250 (1993)[DOI]
- Reznick JB, "Cervicofacial subcutaneous air emphysema after dental extraction", J Am Dent Assoc, 120, pp.417~419 (1990)[DOI]
- Chen SC, "Subcutaneous emphysema and pneumomediastinum after dental extraction", Am J Emerg Med, 17, pp.678~680 (1999)[DOI]
- Fruhauf J, "Soft tissue cervicofacial emphysema after dental treatment: report of 2 cases with emphasis on the differential diagnosis of angioedema", Arch Dermatol, 141, pp.1437~1440 (2005)
- Yang SC, "Subcutaneous emphysema and pneumomediastinum secondary to dental extraction: a case report and literature review", Kaohsiung J Med Sci, 22, pp.641~645 (2006)[DOI]
- Kung JC, "Extensive subcutaneous emphysema after extraction of a mandibular third molar: a case report", Kaohsiung J Med Sci, 25, pp.562~566 (2009)[DOI]
- Nahlieli O, "Iatrogenic pneumomediastinum after endodontic therapy", Oral Surg Oral Med Oral Pathol, 71, pp.618~619 (1991)[DOI]
- Feinstone T, "Infected subcutaneous emphysema: report of case", J Am Dent Assoc, 83, pp.1309~1311 (1971)[DOI]
- McKenzie WS, "Iatrogenic subcutaneous emphysema of dental and surgical origin: a literature review", J Oral Maxillofac Surg, 67, pp.1265~1268 (2009)[DOI]
- "J Am Dent Assoc", 1990, 423~
- Demas PN, "Infection associated with orbital subcutaneous emphysema", J Oral Maxillofac Surg, 49, pp.1239~1242 (1991)[DOI]
- Rickles NH, "Death from air embolism during root canal therapy", J Am Dent Assoc, 67, pp.397~404 (1963)[DOI]
- Pynn BR, "Subcutaneous emphysema following dental treatment: a report of two cases and review of the literature", J Can Dent Assoc, 58, pp.496~499 (1992)
- Patel N, "Cervicofacial subcutaneous emphysema: case report and review of literature", J Oral Maxillofac Surg, 68, pp.1976~1982 (2010)[DOI]
- Hounsfield GN. Nobel award address, "Computed medical imaging", Med Phys, 7, pp.283~290 (1980)[DOI]
- Karras SC, "Cervicofacial and mediastinal emphysema as the result of a dental procedure", J Emerg Med, 14, pp.9~13 (1996)[DOI]
- Greenberg RN, "Microbiologic and antibiotic aspects of infections in the oral and maxillofacial region", J Oral Surg, 37, pp.873~884 (1979)
- Aragon SB, "Pneumomediastinum and subcutaneous cervical emphysema during third molar extraction under general anesthesia", J Oral Maxillofac Surg, 44, pp.141~144 (1986)[DOI]
- Oliver AJ, "Air emphysema secondary to mandibular fracture: case report", J Oral Maxillofac Surg, 51, pp.1143~1145 (1993)[DOI]
- Lee HY, "Extensive post-traumatic subcutaneous emphysema and pneumomediastinum following a minor facial injury", J Oral Maxillofac Surg, 45, pp.812~815 (1987)[DOI]