Emphysema of the periorbital region and mediastinum in a young child following a dental procedure

Moschetta, Laura; Termote, Karolien; Tusscher, Marcel Ten

doi:10.1016/j.jaapos.2021.01.006

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Amoxicillin/clavulanic acid oral for four days as outpatient Durukan et al [ 16 ] First right mandibular molar Endodontic treatment Hospitalisation for three days, intravenous antibiotics: metronidazole, ampicillin Chen et al [ 19 ] Second left mandibular premolar Endodontic treatment Hospitalisation for five days, intravenous antibiotic: apicillin/sulbactam. Amoxicillin/clavulanic acid oral for 12 days as outpatient Kim et al [ 38 ] First left maxillary molar Endodontic treatment Hospitalisation for five days, intravenous antibiotics Lau et al [ 4 ] All teeth Teeth polishing Hospitalisation for four days, intravenous antibiotics Bocchiliani et al [ 39 ] All teeth Airflow procedure Hospitalisation for four days, intravenous antibiotics Mitsunaga et al [ 40 ] First left maxillary molar Tartar removal with an Er: YAG laser Hospitalisation, airway monitoring, bed rest, and prophylactic intravenous antibiotic therapy for five days Wong et al [ 41 ] Third right mandibular molar Coronectomy Treatment as outpatient with analgetic drugs Lee et al [ 42 ] Second right maxillary anterior tooth Periimplantitis therapy Hospitalisation for 13 days, intravenous antibiotics (cephalosporin and piperacillin/tazobactam) for seven days Moschetta et al [ 43 ] Primary teeth Devitalization Hospitalisation three days, intravenous antibiotics …”

Section: Literature Reviewmentioning

confidence: 99%

Pronounced mediastinal emphysema after restorative treatment of the lower left molar—a case report and a systematic review of the literature

Spille

Wagner

Spille

et al. 2022

Oral Maxillofac Surg

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This case report presents an iatrogenic induced mediastinal emphysema after restorative treatment of the lower left second molar, aimed to highlight the potential life-threatening consequences, and providing diagnostics and treatment concepts of complicated dental induced emphysema based on literature review. A 74-year-old female patient was admitted to the emergency department due to a fall on her shoulder. Additional finding was a significant swelling of the face and neck. In the computer tomography of the head, neck, and thorax, a humerus fracture and pronounced soft tissue emphysema from the infraorbital region to the mediastinum was detected. The patient reported that she had been treated by her dentist 4 days earlier. The treatment had to be discontinued after beginning of a pronounced swelling. Other reasons for the emphysema could be excluded out on an interdisciplinary teamwork. The patient was monitored as an inpatient for 5 days and received intravenous antibiotic therapy. This case report shows the rare complication of pronounced mediastinal emphysema after root canal treatment. Emphysema should always be a differential diagnosis of soft tissue swelling and, in case of doubt, a general medical presentation should be made.

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Section: Literature Reviewmentioning

confidence: 99%

Pronounced mediastinal emphysema after restorative treatment of the lower left molar—a case report and a systematic review of the literature

Spille

Wagner

Spille

et al. 2022

Oral Maxillofac Surg

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show abstract

“…PE has also been associated with surgical procedures (dental, ethmoidectomy, or rhinoplasty), barotrauma during diving, respiratory tract infections, and even procedures, such as upper gastrointestinal endoscopy, endoscopic retrograde cholangiopancreatography, and colonoscopy [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Periorbital Emphysema Due to Traumatic Pneumothorax

Manata,

Moniz Ramos,

Baiherych

et al. 2024

Cureus

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Periorbital emphysema is rare and associated with facial trauma. Its main distinguishing feature is crepitation on palpation of the edema. It resolves spontaneously in a few days, but there are cases of orbital compartment syndrome that can lead to loss of vision.Here we present the case of a 55-year-old male who came to the emergency department for bilateral periorbital edema associated with non-steroidal anti-inflammatory drug (NSAID) usage, for pain following a fall from a ladder. He was treated with antihistamines and corticosteroids, for presumed allergic reaction, but without response, and subsequently developed acute onset dyspnea. Chest x-ray revealed a left pneumothorax in the context of chest trauma. Chest CT scan after drain placement shows extensive subcutaneous emphysema. In the differential diagnosis of periorbital edema, in addition to allergic, inflammatory, and systemic causes, the traumatic ones should not be excluded.

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Emphysema of the periorbital region and mediastinum in a young child following a dental procedure

Cited by 2 publications

References 4 publications

Pronounced mediastinal emphysema after restorative treatment of the lower left molar—a case report and a systematic review of the literature

Pronounced mediastinal emphysema after restorative treatment of the lower left molar—a case report and a systematic review of the literature

Periorbital Emphysema Due to Traumatic Pneumothorax

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