Orbital Emphysema Causing Vision Loss after a Dental Extraction

Buckley, Michael; Turvey, Timothy A.; Schumann, S; Grimson, Baird S.

doi:10.14219/jada.archive.1990.0122

Cited by 69 publications

(37 citation statements)

References 11 publications

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“…In our case, computed tomography showed no pulmonary disease or space-occupying lesion in the mediastinum. Early diagnosis and therapy are crucial because the accumulation of air in the mediastinum may cause lethal complications as respiratory distress, pneumothorax, optic nerve damage, and even death by air embolism (6,(8)(9)(10).…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Pneumomediastinum and Subcutaneous Emphysema after Mandibular Left First Molar Tooth Extraction

Önal

Hasdıraz²,

Oğuzkaya³

2016

Erciyes Med J

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Pneumomediastinum and subcutaneous emphysema occur due to the presence of free air in the mediastinum and subcutaneous tissue. Early diagnosis and therapy are crucial as the passage of huge amounts of air into the mediastinum may lead to lethal complications. We report a rare case of cervical subcutaneous emphysema and pneumomediastinum occurring after extraction of the mandibular left first molar using an air-turbine drill. A 54-year-old woman presented to the emergency service with the complaints of left cheek and neck swelling and dysphagia. Her symptoms began following a dental surgery-the extraction of the mandibular left first molar. Computed tomography showed subcutaneous emphysema, which extended bilaterally from the left cervico-facial region to the anterior and posterior mediastinum. She was admitted to our service for follow-up and antibiotic treatment with a diagnosis of subcutaneous emphysema and pneumomediastinum due to dental extraction. Five days later, she was discharged with normal physical and radiographic examinations. Dentists and oral surgeons should realize that using air injection equipment can cause life-threatening complications. They should give detailed information to patients about these possible complications and closely follow-up the patients.

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Section: Discussionmentioning

confidence: 99%

Iatrogenic Pneumomediastinum and Subcutaneous Emphysema after Mandibular Left First Molar Tooth Extraction

Önal

Hasdıraz²,

Oğuzkaya³

2016

Erciyes Med J

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“…According to the literature, onset of iatrogenic subcutaneous emphysema of face and neck in oral cavity surgical approaches may occur due to aggressive technique, inappropriate equipment with high air compression drills, inadequate central venous approach and post-palatine tonsillectomy, when patient is submitted to ventilation with positive oxygen pressure for anesthetic recovery [4][5][6][7] . Head and neck subcutaneous emphysema produce variable manifestations, from discrete discomfort and crepitating at tissues palpation to involvement of aerodigestive ways leading to pain, severe swollen and crepitating, in case of penetration of a large volume of air, as observed in the present case.…”

Section: Discussionmentioning

confidence: 99%

Enfisema subcutâneo e pneumomediastino após amigdalectomia: relato de caso

Panerari

Soter

Silva

et al. 2005

Rev. Bras. Otorrinolaringol.

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Several complications can be related to surgical approaches of head and neck regions. Among those, there are rare conditions such as pneumomediastinum, pneumothorax and subcutaneous cervical emphysema. This study reports a case of a patient that developed pneumomediastinum, pneumothorax and subcutaneous emphysema after undergoing tonsillectomy. In order to reduce these complications in surgical approaches such as tonsillectomy, care should be taken with intubation, use of oxygen mask for positive pressure ventilation during anesthesia recovery, aggressive surgical maneuvers and use of surgical instruments that may cause deep tonsillar injuries.Rev Bras Otorrinolaringol. V.71, n

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“…Complete resolution should be expected within a few days (1)(2)(3)(4)(5). Prognosis is usually good, but complications including pneumomediastinum, pneumothorax, pneumo pericardium.…”

Section: Discussionmentioning

confidence: 99%

“…Whereas complications such as anaphylaxis, haematoma or infection arc well known, the occurrence of subcutaneous emphy sema (SE) after dental treatment with compressed air equipment has not been frequently documented in derma tological journals [1][2][3][4][5]. The use of this equipment may introduce air into the soft tissues, resulting in distension of the overlying skin or mucosa.…”

mentioning

confidence: 99%

Subcutaneous Emphysema and Pneumomediastinum following Dental Extraction

Ouahes

Petit²,

Poirier³

et al. 1993

Dermatology

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A case of acute subcutaneous emphysema of the lateral region of the neck is described. The patient, a 26-year-old woman, also had radiologic evidence of pneumomediastinum. She completely recovered in a few days under prophylactic antibiotherapy. In this case, subcutaneous and mediastinal emphysema was most probably due to the introduction of air into the soft tissue during dental surgery using compressed air equipment.

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Orbital Emphysema Causing Vision Loss after a Dental Extraction

Cited by 69 publications

References 11 publications

Iatrogenic Pneumomediastinum and Subcutaneous Emphysema after Mandibular Left First Molar Tooth Extraction

Iatrogenic Pneumomediastinum and Subcutaneous Emphysema after Mandibular Left First Molar Tooth Extraction

Enfisema subcutâneo e pneumomediastino após amigdalectomia: relato de caso

Subcutaneous Emphysema and Pneumomediastinum following Dental Extraction

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