Mediastinal emphysema caused by a dental laser

Matsuzawa, Noriko; Kinoshita, Hiroyuki; Shirozu, Takamasa; Takamura, Masamitsu; Nagao, Toru

doi:10.1016/j.ajoms.2010.04.004

Cited by 5 publications

(6 citation statements)

References 9 publications

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“…In another case, Mitsunaga et al (6) diagnosed thoracocervicofacial emphysema caused when an air cooling spray of a dental laser was used. Mediastinal emphysema was observed in a majority of patients with cervicofacial emphysema associated with dental laser irradiation (11).…”

Section: Discussionmentioning

confidence: 99%

“…Wrong use of dental laser and air projection systems can cause subcutaneous, mediastinal, and cervicofacial emphysema (9, 10). Matsuzawa et al (11) reported subcutaneous cervicofacial and mediastinal emphysema resulting from a laser incision made for the drainage of a gingival abscess caused by periodontitis. In another case, Mitsunaga et al (6) diagnosed thoracocervicofacial emphysema caused when an air cooling spray of a dental laser was used.…”

Section: Discussionmentioning

confidence: 99%

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Cervicofacial and Mediastinum Emphysema Following Dental Intervention

Akkucuk¹,

Avci²,

Torun³

et al. 2015

EAJEM

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Mediastinitis is a clinical case with high mortality and morbidity ratio. Thus, defining the causes beforehand is significantly important. A 65-year-old male patient present to the emergency care unit because of symptoms such as swelling of his face and neck. Crepitation is noted during palpation at the right lateral face and neck of patients, indicating that swelling occurred after medical intervention by the dentist using spray. Emphysema is seen on the face, neck, and mediastinum on X-ray and CT scans. Patients were hospitalized, and parenteral antibiotic therapy was applied in case of the possibility of serious infection, which may occur because of the use of air syringe, causing the permeation of oral flora to the neck and mediastinum via buccal mucosal ruptures during the patient's dental surgery. Because swellings disappeared and the patient did not have fever on the third day of hospitalization, the patient was discharged after oral antibiotics therapy. Physicians working at the emergency care unit will always keep in mind the risk of deep neck infections and mediastinitis occurrence that patients presenting with swelling symptoms on the neck and face may have following dental surgery. (Eurasian J Emerg Med 2015; 14: 148-50)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cervicofacial and Mediastinum Emphysema Following Dental Intervention

Akkucuk¹,

Avci²,

Torun³

et al. 2015

EAJEM

View full text Add to dashboard Cite

show abstract

“…The literature review revealed five cases of emphysema following laser dental treatment in the English-language literature (including one of our cases) 1,[4][5][6][7] and seven cases in the Japanese-language literature (including one of our cases). [8][9][10][11][12][13][14] All 13 cases (one male, 12 females; mean age, 43.6 years; age range, 8-76 years) are summarized in Table 1 and all were reported from Japanese hospitals.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Although the air pressure generated by a dental laser is lower than that generated by an air turbine, the duration of tip insertion might be related to the risk of emphysema. 6 According to one dental laser manual, incision should first involve cutting part of the swollen gum to provide an opening with the laser and to secure drainage. 6 Additionally, the laser should be advanced and retracted without the tip being fixed in the same position in the submucosal tissue.…”

Section: 4-13mentioning

confidence: 99%

“…6 Additionally, the laser should be advanced and retracted without the tip being fixed in the same position in the submucosal tissue. 6 The several advantages of dental laser treatment mean that it is now commonly performed in dental clinics, 6,17,18 and the potential for iatrogenic emphysema might have increased with inadvertent manipulation of compressed air-equipped lasers.…”

Section: 4-13mentioning

confidence: 99%

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