Cervicofacial Subcutaneous Emphysema and Pneumomediastinum After Intraoral Laser Irradiation

Imai, Tomoaki; Michizawa, Masahiro; Arimoto, Emiko; Kimoto, Masaya; Yura, Yoshiaki

doi:10.1016/j.joms.2008.01.039

Cited by 18 publications

(17 citation statements)

References 13 publications

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“…emphysema has also been reported during oral laser surgery procedures (8). Air can be introduced into the soft tissue spaces by several routes, but it usually passes through the dentoalveolar membrane or a root canal (9).…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous emphysema during third molar surgery: a case report

Romeo¹,

Galanakis²,

Lerario³

et al. 2011

Braz. Dent. J.

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extraction of third molars is the most common surgical procedure performed in oral surgery on a daily basis and, despite surgical skills and expertise, complications may occur. Complications observed during or after third molar removal may include pain, swelling, bleeding, infection, sinus perforation and nerve damage. Fortunately, with a proper management and a good surgical technique, the incidence of such events is low. Subcutaneous emphysema associated with dental extraction occurs when the air from the high-speed dental handpiece is forced into the soft tissue through the reflected flap and invades the adjacent tissues, leading to swelling, crepitus on palpation and occasionally spreading through the tissue spaces of the fascial planes. Although rare, iatrogenic subcutaneous emphysema can have serious and potentially life-threatening consequences. Care should be taken when using air-driven handpieces. The access of air into the facial tissues is not limited to tooth extractions, but may also occur through other portals of entrance, such as endodontically treated teeth, periodontium and lacerations of intraoral soft tissues. When subcutaneous emphysema occurs, it must be quickly diagnosed and properly managed to reduce the risk of further complications. This report presents a case of subcutaneous emphysema occurred during extraction of a mandibular third molar extraction with the use of an air turbine handpiece. Case management is described and issues relative to the diagnosis and prevention of this surgical complication are discussed.key Words: subcutaneous emphysema, third molar extraction, high pressure air instruments.

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Section: Discussionmentioning

confidence: 99%

Subcutaneous emphysema during third molar surgery: a case report

Romeo¹,

Galanakis²,

Lerario³

et al. 2011

Braz. Dent. J.

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“…It is known that subcutaneous emphysema may be caused by inappropriate use of the air projection system of dental lasers [27,28]. Lasers use an air stream for cooling the operating area and to provide air at a rate of 6-9 l/min [29].…”

Section: Measurements Of the Temperature Changes In The Bone/implant mentioning

confidence: 99%

Temperature evaluation of dental implant surface irradiated with high-power diode laser

et al. 2016

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The prevalence of peri-implantitis and the absence of a standard approach for decontamination of the dental implant surface have led to searches for effective therapies. Since the source of diode lasers is portable, has reduced cost, and does not cause damage to the titanium surface of the implant, high-power diode lasers have been used for this purpose. The effect of laser irradiation on the implants is the elevation of the temperature surface. If this elevation exceeds 47 °C, the bone tissue is irreversibly damaged, so for a safety therapy, the laser parameters should be controlled. In this study, a diode laser of GaAsAl was used to irradiate titanium dental implants, for powers 1.32 to 2.64 W (real) or 2.00 to 4.00 W (nominal), in continuous/pulsed mode DC/AC, with exposure time of 5/10 s, with/without air flow for cooling. The elevation of the temperature was monitored in real time in two positions: cervical and apical. The best results for decontamination using a 968-nm diode laser were obtained for a power of 1.65 and 1.98 W (real) for 10 s, in DC or AC mode, with an air flow of 2.5 l/min. In our perspective in this article, we determine a suggested approach for decontamination of the dental implant surface using a 968-nm diode laser.

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“…Tissue swelling with crepitus on palpation are hallmark signs. This complication has been a documented sequela in a wide variety of surgeries and procedures, including various types of dental procedures, colonoscopy, shoulder arthroscopy, tonsillectomy, throidectomy, laparoscopy, endoscopic retrograde pancreatocholangiogram, cricothyrotomy, electroconvulsive therapy, endotracheal intubation, and positive pressure ventilation (PPV) [3][4][5][6][7][8][9][10][11][12][13]. A recent review of the dental and surgical literature showed cases of SQ emphysema often being linked to the use of air-driven powered devices, CO2 lasers, NO2 cryotherapy, and endotracheal intubation and PPV [2].…”

Section: Discussionmentioning

confidence: 99%

Cervicofacial subcutaneous emphysema and pneumomediastinum after retinal detachment surgery: just another monitored anesthesia eye case

Colson

2011

Journal of Clinical Anesthesia

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Cervicofacial Subcutaneous Emphysema and Pneumomediastinum After Intraoral Laser Irradiation

Cited by 18 publications

References 13 publications

Subcutaneous emphysema during third molar surgery: a case report

Subcutaneous emphysema during third molar surgery: a case report

Temperature evaluation of dental implant surface irradiated with high-power diode laser

Cervicofacial subcutaneous emphysema and pneumomediastinum after retinal detachment surgery: just another monitored anesthesia eye case

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