Cervicofacial subcutaneous emphysema after routine dental hygiene procedure – a case report
Authors:
Z. Javorská 1; B. Antal 2; Miroslav Tedla 1
Authors‘ workplace:
Klinika otorinolaryngológie a chirurgie hlavy a krku LF UK a UN Bratislava
1; Antaldent s. r. o., Bratislava
2
Published in:
Otorinolaryngol Foniatr, 72, 2023, No. 3, pp. 148-151.
Category:
Case Reports
doi:
https://doi.org/10.48095/ccorl2023148
Overview
Subcutaneous emphysema (SE) of the neck and the face is a rare complication of dental procedures. Rarely, SE can be accompanied by severe and potentially life-threatening complications. The formation of cervicofacial SE in stomatology is mainly connected with high-speed air-driven handheld instruments used in dental treatment, such as tooth extraction, or caries treatment. In this case study, a 33-year-old female patient referred to the emergency ENT service is reported. Left-sided facial and neck SE developed following a preventive dental procedure using an Air-flow device. According to our knowledge, only two similar patients have been reported in the literature. Knowing this clinical entity and treatment without delay is crucial in preventing further complications.
Keywords:
air-flow – cervicofacial subcutaneous emphysema – preventive dental care – dental hygiene procedure – sandblasting
Sources
1. McKenzie WmS, Rosenberg M. Iatrogenic Subcutaneous Emphysema of Dental and Surgical Origin: A Literature Review. J Oral Maxillofac Surg 2009; 67(6): 1265–1268. Doi: 10.1016/ j.joms.2008.12.050.
2. Ghosh I, Behera P, Das B et al. Subcutaneous emphysema after endotracheal intubation: A case report. Saudi J Anaesth 2018; 12(2): 348. Doi: 10.4103/ sja.SJA_533_17.
3. Kim ES, Kang JW, Kim CH et al. Cervical Subcutaneous Emphysema and Pneumomediastinum After Septorhinoplasty: J Craniofac Surg 2014; 25(2): 533–534. Doi: 10.1097/ SCS.000 0000000000693.
4. Bansal BC, Abramo TJ. Subcutaneous emphysema as an uncommon presentation of child abuse. Am J Emerg Med 1997; 15(6): 573–575. Doi: 10.1016/ S0735-6757(97)90160-1.
5. Balaji SM. Subcutaneous emphysema. J Maxillofac Oral Surg 2015; 14(2): 515–517. Doi: 10.1007/ s12663-010-0158-9.
6. Paouris D, Kunzo S, Šebová I. Subcutaneous emphysema with pneumomediastinum after elective tonsillectomy – case study. Otolaryngol Case Rep 2021; 21: 100356. Doi: 10.1016/ j.xocr.2021.100356.
7. Valenta T, Černý M, Chrobok V. Zlomenina kostry hrtanu – kazuistika. Otorinolaryngol Foniatr 2022; 71(2): 86–90. Doi: 10.48095/ ccorl 202286.
8. An GK, Zats B, Kunin M. Orbital, Mediastinal, and Cervicofacial Subcutaneous Emphysema after Endodontic Retreatment of a Mandibular Premolar: A Case Report. J Endod 2014; 40(6): 880–883. Doi: 10.1016/ j.joen.2013.09. 042.
9. Jones A, Stagnell S, Renton T et al. Causes of subcutaneous emphysema following dental procedures: a systematic review of cases 1993-2020. Br Dent J 2021; 231(8): 493–500. Doi: 10.1038/ s41415-021-3564-0.
10. Fasoulas A, Boutsioukis C, Lambrianidis T. Subcutaneous emphysema in patients undergoing root canal treatment: a systematic review of the factors affecting its development and management. Int Endod J 2019; 52(11): 1586–1604. Doi:10.1111/ iej.13183.
11. Haksever M, Akduman D. Hydrogen peroxide as a cause of iatrogenic subcutaneous cervicofacial emphysema: Is it innocent? Open J Clin Diagn 2012; 02(03): 48–50. Doi: 10.4236/ ojcd.2012.23010.
12. Jeong CH, Yoon S, Chung SW et al. Subcutaneous emphysema related to dental procedures. J Korean Assoc Oral Maxillofac Surg 2018; 44(5): 212. Doi: 10.5125/ jkaoms.2018.44.5. 212.
13. Alonso V, García-Caballero L, Couto I et al. Subcutaneous emphysema related to air-powder tooth polishing: a report of three cases. Aust Dent J 2017; 62(4): 510–515. Doi: 10.1111/ adj. 12537.
14. La Monaca G, Pranno N, Annibali S et al. Subcutaneous Facial Emphysema Following Open-Flap Air-Powder Abrasive Debridement for Peri-Implantitis: A Case Report and an Overview. Int J Environ Res Public Health 2021; 18(24): 13286. Doi: 10.3390/ ijerph182413286.
15. Fruhauf J, Weinke R, Pilger U et al. Soft tissue cervicofacial emphysema after dental treatment: report of 2 cases with emphasis on the differential diagnosis of angioedema. Arch Dermatol 2005; 141(11): 1437–1440. Doi: 10.1001/ archderm.141.11.1437.
16. Segura A, Donly KJ, Wefel JS et al. Effect of enamel microabrasion on bacterial colonization. Am J Dent 1997; 10(6): 272–274.
17. Graumann SJ, Sensat ML, Stoltenberg JL. Air polishing: a review of current literature. J Dent Hyg JDH 2013; 87(4): 173–180.
18. Sawai M, Bhardwaj A, Jafri Z et al. Tooth polishing: The current status. J Indian Soc Peri- odontol 2015; 19(4): 375. Doi: 10.4103/ 0972-12 4X.154170.
19. Pelka M, Trautmann S, Petschelt A et al. Influence of air-polishing devices and abrasives on root dentin-an in vitro confocal laser scanning microscope study. Quintessence Int Berl Ger 1985 2010; 41(7): e141–148.
20. Wilmes B, Vali S, Drescher D. In-vitro study of surface changes in fixed orthodontic appliances following air polishing with Clinpro Prophy and Air-Flow. J Orofac Orthop 2009; 70(5): 371–384. Doi: 10.1007/ s00056-009-9907-0.
21. Chang VKO, Tsai HH. Patient-induced progressive facial subcutaneous emphysema masquerading as odontogenic abscess. BMJ Case Rep 2021; 14(6): e243489. Doi: 10.1136/ bcr-2021-243489.
22. Buckley MJ, Turvey TA, Schumann SP et al. Orbital Emphysema Causing Vision Loss after a Dental Extraction. J Am Dent Assoc 1990; 120(4): 421–424. Doi: 10.14219/ jada.archive. 1990.0122.
23. Lee JH, Kim KH, Kim J et al. Pneumomediastinum and Subcutaneous Emphysema after Periodontal Treatment Using Air-Flow Equipment : A Case Report. Korean J Oral Maxillofac Pathol 2015; 39(4): 607–614. Doi: 10.17779/ KA OMP.2015.39.4.607.
24. Steiner M, Grau MJ, Wilson DL et al. Odontogenic infection leading to cervical emphysema and fatal mediastinitis. J Oral Maxillofac Surg 1982; 40(9): 600–604. Doi: 10.1016/ 0278-23 91(82)90293-2.
25. Lee SW, Huh YH, Cha MS. Iatrogenic subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration. J Korean Assoc Oral Maxillofac Surg 2017; 43(1): 49. Doi: 10.5125/ jkaoms.2017.43.1.49.
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Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
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