Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제43권1호
  • /
  • Pages.49-52
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  • 2017
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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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)
  • 투고 : 2016.09.13
  • 심사 : 2016.11.30
  • 발행 : 2017.02.28
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초록

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.

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참고문헌

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피인용 문헌

  1. Subcutaneous emphysema and pneumomediastinum during dental treatment vol.5, pp.2, 2017, https://doi.org/10.22470/pemj.2018.00241
  2. Investigation of the Electric Handpiece-related Pneumomediastinum and Cervicofacial Subcutaneous Emphysema in Third Molar Surgery vol.28, pp.1, 2017, https://doi.org/10.2485/jhtb.28.79
  3. Pneumomediastinum and Subcutaneous Emphysema after Use of a High-Speed Dental Handpiece vol.25, pp.2, 2019, https://doi.org/10.15746/sms.19.024
  4. Emphysema after Sinus Grafting: Importance of Patient's Information, Early Diagnosis, and Management vol.2020, pp.None, 2017, https://doi.org/10.1155/2020/1525673
  5. Patient-induced progressive facial subcutaneous emphysema masquerading as odontogenic abscess vol.14, pp.6, 2017, https://doi.org/10.1136/bcr-2021-243489
  6. Management of Air Emphysema with Cyanosis Following Dental Treatment - A Case Report with Scientific Reasoning vol.10, pp.37, 2017, https://doi.org/10.14260/jemds/2021/670
  7. Causes of subcutaneous emphysema following dental procedures: a systematic review of cases 1993-2020 vol.231, pp.8, 2021, https://doi.org/10.1038/s41415-021-3564-0