OJST  Vol.5 No.8 , August 2015
Subcutaneous Emphysema Is Iatrogenic Complication in Dental Surgery
Author(s) Yara Mahfouz1, Maen Mahfouz1,2
ABSTRACT
Subcutaneous emphysema in the head and neck is a well known clinical condition. It is an uncommon clinical complication of dental treatment caused by forceful injection of air into the loose connective tissue below the dermal layer. The trapped air is often limited by subcutaneous space in the head and neck. This paper presents a clinical case in which subcutaneous emphysema developed immediately during surgical extraction of third molar.

Cite this paper
Mahfouz, Y. and Mahfouz, M. (2015) Subcutaneous Emphysema Is Iatrogenic Complication in Dental Surgery. Open Journal of Stomatology, 5, 217-225. doi: 10.4236/ojst.2015.58027.
References
[1]   García Egido, A.A., García Herrera, A.L. and Domínguez Fuentes, B. (2008) Subcutaneous Emphysema and Pneumomediastinum after Dental Extraction. Medicina Clínica, 130, 518.
http://dx.doi.org/10.1157/13119496

[2]   Arai, I., Aoki, T., Yamazaki, H., Ota, Y. and Kaneko, A. (2009) Pneumomediastinum and Subcutaneous Emphysema after Dental Extraction Detected Incidentally by Regular Medical Checkup: A Case Report. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 107, e33-e38.
http://dx.doi.org/10.1016/j.tripleo.2008.12.019

[3]   Penarrocha, M.A., Ata-Ali, J., Carrillo, C. and Penarrocha, M. (2011) Subcutaneous Emphysema Resulting from Surgical Extraction without Elevation of a Mucoperiosteal Skin Flap. Journal of Clinical and Experimental Dentistry, 3, e265-e267.
http://dx.doi.org/10.4317/jced.3.e265

[4]   Turnbull, A. (1900) A Remarkable Coincidence in Dental Surgery. British Medical Journal, 1, 1131.
http://dx.doi.org/10.1136/bmj.1.2053.1131-b

[5]   Karras, S.C. and Sexton, J.J. (1996) Cervicofacial and Mediastinal Emphysema as the Result of a Dental Procedure. The Journal of Emergency Medicine, 14, 9-13.
http://dx.doi.org/10.1016/0736-4679(95)02037-3

[6]   Nobel, W.H. (1972) Mediastinal Emphysema Resulting from Extraction of an Impacted Mandibular Third Molar. The Journal of the American Dental Association, 84, 368-370.
http://dx.doi.org/10.14219/jada.archive.1972.0044

[7]   Horowitz, I., Hirshberg, A. and Freedman, A. (1987) Pneumomediastinum and Subcutaneous Emphysema Following Surgical Extraction of Mandibular Third Molars: Three Case Reports. Oral Surgery, Oral Medicine, Oral Pathology, 63, 25-28.
http://dx.doi.org/10.1016/0030-4220(87)90335-5

[8]   Buckley, M.J., Turvey, T.A., Schummann, S.P. and Grimson, B.S. (1990) Orbital Emphysema Causing Vision Loss after a Dental Extraction. The Journal of the American Dental Association, 120, 421-424.
http://dx.doi.org/10.14219/jada.archive.1990.0122

[9]   Smatt, Y., Browaeys, H., Genay, A., Raoul, G. and Ferry, J. (2004) Iatrogenic Pneumomediastinum and Facial Emphysema after Endodontic Treatment. British Journal of Oral and Maxillofacial Surgery, 42, 160-162.
http://dx.doi.org/10.1016/S0266-4356(03)00240-7

[10]   Staines, K. and Felix, D.H. (1998) Surgical Emphysema: An Unusual Complication of Punch Biopsy. Oral Diseases, 4, 41-42.
http://dx.doi.org/10.1111/j.1601-0825.1998.tb00254.x

[11]   Yamada, H., Kawaguchi, K., Tamura, K., Sonoyama, T., Iida, N. and Seto, K. (2006) Facial Emphysema Caused by Cheek Bite. International Journal of Oral and Maxillofacial Surgery, 35, 188-189.
http://dx.doi.org/10.1016/j.ijom.2005.07.001

[12]   Heyman, S.N. and Babayof, I. (1995) Emphysematous Complications in Dentistry, 1960-1993: An Illustrative Case and Review of the Literature. Quintessence International, 26, 535-543.

[13]   Arai, I., Aoki, T., Yamazaki, H., Ota, Y. and Kaneko, A. (2009) Pneumomediastinum and Subcutaneous Emphysema after Dental Extraction Detected Incidentally by Regular Medical Checkup: A Case Report. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 107, e33-e38.
http://dx.doi.org/10.1016/j.tripleo.2008.12.019

[14]   Mckenzie, W.S. and Rosenberg, M. (2009) Iatrogenic Subcutaneous Emphysema of Dental and Surgical Origin: A Literature Review. Journal of Oral and Maxillofacial Surgery, 67, 1265-1268.
http://dx.doi.org/10.1016/j.joms.2008.12.050

[15]   Kung, J.C., Chuang, F.H., Hsu, K.J., Shih, Y.L., Chen, C.M. and Huang, I.Y. (2009) Extensive Subcutaneous Emphysema after Extraction of a Mandibular Third Molar: A Case Report. Kaohsiung Journal of Medical Sciences, 25, 562-566.
http://dx.doi.org/10.1016/S1607-551X(09)70550-9

[16]   Sekine, J., Irie, A., Dotsu, H. and Inokuchi, T. (2000) Bilateral Pneumothorax with Extensive Subcutaneous Emphysema Manifested during Third Molar Surgery. A Case Report. Interna-tional Journal of Oral and Maxillofacial Surgery, 29, 355-357.
http://dx.doi.org/10.1016/S0901-5027(00)80051-X

[17]   Gamboa Vidal, C.A., Vega Pizarro, C.A. and Almeida A.A. (2007) Subcutaneous Emphysema Secondary to Dental Treatment: Case Report. Medicina Oral Patologia Oral Y Cirugia Bucal, 12, E76-E78.

[18]   Pynn, B.R., Amato, D. and Walker, D.A. (1992) Subcutaneous Emphysema Following Dental Treatment: A Report of Two Cases and Review of the Literature. The Journal of the Canadian Dental Association, 58, 496-499.

[19]   Monsour, P.A. and Savage, N.W. (1989) Cervicofacial Emphysema Following Dental Procedures. Australian Dental Journal, 34, 403-406.
http://dx.doi.org/10.1111/j.1834-7819.1989.tb00695.x

[20]   Shackelford, D. and Casani, J.A. (1993) Diffuse Subcutaneous Emphysema, Pneumomediastinum, and Pneumothorax after Dental Extraction. Annals of Emergency Medicine, 22, 248-250.
http://dx.doi.org/10.1016/S0196-0644(05)80214-8

[21]   Peterson, L.J. (1990) Emphysema and the Dental Drill. The Journal of the American Dental Association, 120, 423.

[22]   Chen, S.C., Lin, F.Y. and Chang, K.J. (1999) Subcutaneous Emphysema and Pneumomediastinum after Dental Extraction. American Journal of Emergency Medicine, 17, 678-680.
http://dx.doi.org/10.1016/S0735-6757(99)90158-4

[23]   Aragon, S.B., Dolwick, M.F. and Buckley, S. (1986) Pneumomediastinum and Subcutaneous Cervical Emphysema during Third Molar Extraction under General Anesthesia. Journal of Oral and Maxillofacial Surgery, 44, 141-144.
http://dx.doi.org/10.1016/0278-2391(86)90198-9

[24]   Cardo Jr., V.A., Mooney, J.W. and Stratigos, G.T. (1972) Iatrogenic Dental Air Emphysema: Report of a Case. The Journal of the American Dental Association, 85, 144-147.
http://dx.doi.org/10.14219/jada.archive.1972.0283

[25]   Mather, A.J., Stoykewych, A.A. and Curran, J.B. (2006) Cervicofacial and Mediastinal Emphysema Complicating a Dental Procedure. Journal of the Canadian Dental Association, 72, 565-568.

 
 
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