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- Differential Diagnoses
- Radiographic Presentation and Sequelae
- Management and Treatment
- Preventive Strategies
- Case Study
- Summary
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The first sign of subcutaneous emphysema is the swelling of the overlying soft tissues, which could take place immediately or several hours after the event has occurred. In cases in which the subcutaneous emphysema has spread to the paratracheal, mediastinal or thoracic spaces, there may be alterations in breathing. However, myriad conditions are...
Unfortunately, little evidence of this complication can be seen on the imaging modalities commonly available to dental practitioners. Intraoral radiographs and panoramic radiography are likely to be inconclusive (as shown in Figure 1). Even cone beam computed tomography (CBCT) will yield inconclusive findings. Although pockets of air can be detecte...
If a subcutaneous emphysema is suspected, the initial clinical step is to immediately stop the procedure to determine its extent and location. This can be achieved by palpation of the skin over the affected area, which may indicate the spread and extent of entrapped air. Fortunately, space emphysema is usually self-limited and resolves in three to ...
Considering that use of high-speed air-driven handpieces is a chief cause of subcutaneous emphysema in dental settings, clinicians are advised to closely follow manufacturers’ recommendations as to proper use and maintenance, as this will help prevent complications. Additionally, patients should be advised about the consequences of not following po...
A 36-year-old female with a noncontributory medical history presented to the emergency department with a chief complaint of right facial swelling and pain two days after extraction of the right maxillary first and second molars at a local community clinic. The management of the patient included a one-week course of 500 mg penicillin VK as a prophy...
In conclusion, subcutaneous emphysemas secondary to dental procedures are rare, but can be a potentially life-threatening complication if not diagnosed and treated quickly and properly. Entrapped air can advance deeper in the soft tissue and cause a fatal air embolism and/or dangerous infections through dissemination of bacteria. In addition, patie...
Cassada DC, Munyikwa MP, Moniz MP, Dieter RA Jr, Schuchmann GF, Enderson BL. Acute injuries of the trachea and major bronchi: importance of early diagnosis. Ann Thorac Surg. 2000;69:1563–1567.Bansal BC, Abramo TJ. Subcutaneous emphysema as an uncommon presentation of child abuse. Am J Emerg Med. 1997;15:573–575.McKenzie WS, Rosenberg M. Latrogenic subcutaneous emphysema of dental and surgical origin: a literature review. J Oral Maxillofac Surg. 2009;67:1265–1268.Balaji SM. Subcutaneous emphysema. J Maxillofac Oral Surg. 2015;14:515–517.Dr. Phillip Wong, DDS, is a specialist practicing in Gainesville, FL with undefined years of experience. . New patients are welcome.
To be a Centre of Excellence for dental education, research and dental care in the region. The Prince Philip Dental Hospital (“PPDH”) is established under The Prince Philip Dental Hospital Ordinance ( Chapter 1081, Laws of Hong Kong) and is funded by the Government.
Dr. Phillip Wong, DDS, is a specialist in who treats patients in Gainesville, FL.
Dr. Philip Wong has a 3.0/5 rating from patients. Visit RateMDs for Dr. Philip Wong reviews, contact info, practice history, affiliated hospitals & more.
Dr. Phillip Wong, DMD is a dentistry practitioner in Indianapolis, IN. He currently practices at Practice.
