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KMID : 0602820080140010050
Korean Journal of Bronchoesophagology
2008 Volume.14 No. 1 p.50 ~ p.53
A case of subcutaneous cervicofacial and mediastinal emphysema secondary to third molar extraction
Cho Sung-Ho

Kim Dong-Wook
Lee Byung-Don
Chang Hyuk-Soon
Abstract
Subcutaneous cervicofacial, mediastinal emphysemas are complications associated with head and neck surgery, trauma, infectious processes, tooth extraction. Drill cooling stream and dental syringe air ject are the sources of high pressure air that may enter exposed soft tissue. Since the introduction of the high-speed air turbine drill in the 1960s, The incidence of iatrogenic subcutaneous emphysema has increased. Most cases begin to resolve after 2 to 3 days and residual swelling is usually minimal at the end of 7 to 10 days. Surgical approach is not advised because it is likely to be ineffective. The differential diagnosis of neck swelling after dental procedure includes hematoma, cellulitis, angioedema, allergic reaction, subcutaneous emphysema. We report a rare case of patient with subcutaneous cervicofacial emphysema and mediastinal emphysema secondary to third molar extraction.
KEYWORD
SubcutaneousEmphysema, MediastinalEmphysema, ToothExtraction
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