title: Subcutaneous emphysema and pneumomediastinum after dental extraction.
abstract: Pneumomediastinum, pneumothorax, and subcutaneous emphysema can occur occasionally after a surgical procedure. Facial swelling is a common complication of dental management. The occurrence of subcutaneous emphysema, pneumothorax, and pneumomediastinum after dental procedures is rare. We present a case with subcutaneous emphysema of the upper chest, neck, chin, and pneumomediastinum after a tooth extraction and discuss the possible mechanism of subcutaneous emphysema. To prevent these complications during dental procedures, dental hand pieces that have air coolant and turbines that exhaust air in the surgical field should not be used.
authors.affiliation: Department of Emergency Medicine, National Taiwan University Hospital, Taipei, ROC.
authors.forename: S C
authors.initials: SC
authors.lastname: Chen
authors.forename: F Y
authors.initials: FY
authors.lastname: Lin
authors.forename: K J
authors.initials: KJ
authors.lastname: Chang
mesh_terms: D000328:Adult; D003754:Dental High-Speed Equipment / Q000009:adverse effects*; D003937:Diagnosis, Differential; D004638:Emergency Treatment / Q000379:methods; D005145:Face; D005260:Female; D006801:Humans; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000517:prevention & control; D008964:Molar, Third; D009333:Neck; D011859:Radiography; D012307:Risk Factors; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000517:prevention & control; D013909:Thorax; D014081:Tooth Extraction / Q000009:adverse effects* / Q000295:instrumentation*