A Case Report on Subcutaneous Emphysema and Pneumomediastinum Following a Routine Dental Procedure.

air causes of pneumomediastinum dental dental cavities diagnosis general internal medicine intervention omfs pneumomediastinum subcutaneous emphysema

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jun 2023
Historique:
accepted: 29 06 2023
medline: 1 8 2023
pubmed: 1 8 2023
entrez: 1 8 2023
Statut: epublish

Résumé

Subcutaneous emphysema (SE) and pneumomediastinum are rare complications of air beneath the skin layers and in the mediastinal space, respectively, following routine dental procedures. A few cases exist in the literature. A 53-year-old female presented to the emergency department shortly after a cavity filling, with marked swelling of her right orbit, face, and neck. Physical examination and computed tomography (CT) revealed subcutaneous emphysema and pneumomediastinum. The patient was treated with prophylactic antibiotics for one week and Peridex rinse twice daily. Subcutaneous emphysema and pneumomediastinum cases have been associated with potentially life-threatening sequelae and infections. Although these conditions are almost exclusively benign and self-limiting, physicians should consider the associated fatal complications and manage accordingly. Dental providers should be able to recognize this complication and provide patients with appropriate guidance.

Identifiants

pubmed: 37525788
doi: 10.7759/cureus.41177
pmc: PMC10387189
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e41177

Informations de copyright

Copyright © 2023, Deskins et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

J Otolaryngol Head Neck Surg. 2020 Aug 18;49(1):61
pubmed: 32811562
Dent Med Probl. 2019 Apr-Jun;56(2):203-207
pubmed: 31274258
Clin Pract Cases Emerg Med. 2021 Feb;5(1):58-61
pubmed: 33560953
Case Rep Dent. 2017;2017:7016467
pubmed: 28487779
Eur J Case Rep Intern Med. 2022 Feb 07;9(2):003153
pubmed: 35265546

Auteurs

Seth J Deskins (SJ)

Internal Medicine/Pediatrics, West Virginia University (WVU) Medicine, Morgantown, USA.

Nancy E Brunner (NE)

Pediatrics, West Virginia University (WVU), Morgantown, USA.

Matthew Brunner (M)

Internal Medicine/Pediatrics, West Virginia University (WVU), Morgantown, USA.

Classifications MeSH