Background Subcutaneous emphysema is an uncommon incident in dental treatments. This study was designed to investigate the subcutaneous emphysema cases occurred in dental treatments. Methods Eleven patients were diagnosed as a subcutaneous emphysema in our hospital from 2011 to 2021. These patients were evaluated for age, sex, medical history, origin tooth, dental procedure, cause, range, healing period, duration of antibiotic, and complication. And it was analyzed statistically whether the age, range, or dental procedure had influences for healing period. Results The average age was 48.0 ± 20.0 years. The incidence of subcutaneous emphysema was not related to age but was more common in females. Of the 11 patients, 4 had subcutaneous emphysema that had spread to the chest. It seemed that surgical procedure using an air turbine, or a handpiece is at greatest risk of subcutaneous emphysema. The average healing period, and duration of antibiotics was 8.18 ± 1.78 days, and 10.09 ± 4.30 days, respectively. The statistical results showed a significant difference in the healing period between presence and absence of some medical history. Conclusions This study suggests that subcutaneous emphysema is more frequent in surgical procedures using an air turbine or a handpiece, and that the presence or absence of some diseases affects the healing period.
Case series Patients: Male, 65-year-old • Female, 60-year-old Final Diagnosis: Hypoproteinemia Symptoms: Swelling Medication: — Clinical Procedure: — Specialty: Dentistry Objective: Rare coexistence of disease or pathology Background: Hypoproteinemia is caused by a decrease in protein level in the blood. This report describes 2 cases of hypoproteinemia associated with a gigantic odontogenic tumor. Case Reports: Case 1, a 65-year-old man, visited our hospital with the chief concern of swelling in the right mandible, approximately 100 mm in diameter, and ameloblastoma was diagnosed. Abscess drainage was observed in the fistula of the tumors. Total protein and albumin levels were low before surgery. Hemimandibulectomy was performed under general anesthesia. The final pathological diagnosis based on the specimen was ameloblastic carcinoma. After surgery, the total protein and albumin levels improved and remained stable 6 months after the operation. At 21 months after surgery, there were no signs of recurrence. Case 2, a 60-year-old woman, visited our hospital with a chief concern of swelling in the left mandible, approximately 100 mm in diameter, and ameloblastoma was diagnosed. Abscess drainage was observed in the fistula of the tumors. The patient had a history of hypoproteinemia; preoperative levels of total protein and albumin were low, and edema of the body was observed before surgery. Hemimandibulectomy was performed under general anesthesia. The final pathological diagnosis based on the specimen was ameloblastoma. After surgery, the total protein and albumin levels improved, and remained stable 6 weeks after surgery. There were no signs of recurrence 9 months after surgery. Conclusions: These 2 cases indicate the possibility that hypoproteinemia can be caused by plasma leakage from fistulas associated with gigantic odontogenic tumors.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.