Subcutaneous emphysema and vocal fold paresis as a complication of a dental procedure

North, Lauren M.; Sulman, Cecille G.

doi:10.1016/j.ijporl.2019.05.033

Cited by 8 publications

(11 citation statements)

References 7 publications

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“…However, as we have observed, complications are possible and may be life-threatening [ 10 , 14 ]. Numerous studies have shown that partial resorption occurs on day 4 or 5, and that complete resorption occurs on day 9 or 10 [ 1 – 4 , 8 – 10 , 12 – 18 , 20 – 22 , 24 – 28 ], which occurred in the subject of the current report. The evolution can be monitored by performing X-ray examinations or CT examinations.…”

Section: Discussionmentioning

confidence: 55%

“…Diagnosis of subcutaneous emphysema is important because, if unnoticed, it can lead to various complications, such as pressure on the orbit, which can cause blindness [ 9 , 13 ], compression of the upper airway that sometimes requires intubation of the patient [ 1 , 3 , 14 ], and nerve compression (such as that of the recurrent laryngeal nerve) that causes vocal cord paresis [ 1 ]. Furthermore, subcutaneous emphysema may extend to the thorax, causing pneumopericardium [ 19 , 20 ] or pneumomediastinum [ 1 , 3 , 8 , 10 – 12 , 14 – 17 , 19 – 28 ]. Pressurized air can rupture the mediastinal pleura and cause pneumothorax [ 11 , 19 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Amoxicillin–clavulanic acid seems to be the most frequently used antibiotic treatment [ 17 ]. Some studies have suggested oxygen therapy to eliminate accumulated air more rapidly [ 10 – 12 , 19 , 24 ], whereas others have advised performing skin or chest drainage [ 1 , 8 , 13 ]. However, other reports have indicated that this may instead create a new entry point for air, worsening the situation [ 9 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Pneumomediastinum after Third Molar Extraction: Case Report, Physiopathology, and Literature Review

Peters

Shall

Evrard

2023

Case Reports in Dentistry

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Wisdom tooth extraction is a common procedure in dentistry and stomatology. Subcutaneous emphysema is a rare postoperative complication and commonly remains localized. However, it may spread to the mediastinum, endangering the life of the patient. This present paper presents a case study of pneumomediastinum after wisdom tooth extraction without the use of a compressed air turbine and reviews the cases of subcutaneous emphysema after third molar extraction published in the literature since 2010. The aim of this work is to inform preventive measures, pathophysiological processes, and management related to this complication.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pneumomediastinum after Third Molar Extraction: Case Report, Physiopathology, and Literature Review

Peters

Shall

Evrard

2023

Case Reports in Dentistry

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“…Other life-threatening complications could be a pneumothorax, an infection as well as a mediastinitis, nerve damage, or cardiac problems [ 9 , 10 ]. Moreover, in 20 to 30%, a patient has a foramen ovale, and embolism—which can result in neurotoxic effects—can occur as a life-threatening complication.…”

Section: Discussionmentioning

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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“…Su tratamiento pasa por la observación y el control de constantes y potenciales complicaciones. En ocasiones es preciso hospitalizar y monitorizar al paciente e incluso asegurar la vía aérea 10 .…”

unclassified

Enfisema subcutáneo como complicación de procedimientos de cirugía oral. Avería del instrumental utilizado

Llano¹,

Gil²,

Sanchez³

et al. 2020

j.maxilo

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Subcutaneous emphysema and vocal fold paresis as a complication of a dental procedure

Cited by 8 publications

References 7 publications

Pneumomediastinum after Third Molar Extraction: Case Report, Physiopathology, and Literature Review

Pneumomediastinum after Third Molar Extraction: Case Report, Physiopathology, and Literature Review

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

Enfisema subcutáneo como complicación de procedimientos de cirugía oral. Avería del instrumental utilizado

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