Specialist management of RAAS leads to fewer local recurrences and improved disease-specific survival. Early referral and management within specialist units is recommended.

Acute orofacial pain in the head and neck region is a common complaint; however it can be a diagnostic challenge due to the anatomical complexities in this region, sometimes making the origin of pain difficult to source. Accurate diagnosis relies on a systematic evaluation of the patient's pain history, medical factors and clinical signs and symptoms. An assessment of the patient's cervical musculoskeletal system is often overlooked but can provide important diagnostic information.

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Surgical emphysema is as an iatrogenic complication whereby air is dispersed within the tissues following an invasive procedure. It is relatively uncommon, however, it has been recognised that dental extractions and the use of air turbine drills can result in this complication. Here, we discuss a case report of a 35-year-old male reattending with extensive surgical emphysema following a seemingly uncomplicated dental extraction, caused by playing with his baby. This case was unusual because no dental air turbine drill was used during the dental extraction, and due to the innocuous patient activity that caused the emphysema. Consideration of the aetiology, prevention and recognition of surgical emphysema are discussed.

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