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Bilateral pneumothorax with extensive subcutaneous emphysema manifested during third molar surgery. A case report
1Second Department of Oral and Maxillofacial Surgery, Nagasaki University School of Dentistry, Japan. georges@net.nagasaki-u.ac.jp
International Journal of Oral and Maxillofacial Surgery
|November 9, 2000
Summary
A dental procedure using an air turbine handpiece caused bilateral pneumothorax and extensive subcutaneous emphysema. This rare complication highlights risks associated with pressurized air dissection during third molar extraction.
Area of Science:
- Oral and Maxillofacial Surgery
- Thoracic Surgery
- Radiology
Background:
- Subcutaneous emphysema and pneumothorax are rare complications in dentistry.
- Air turbine dental handpieces deliver pressurized air that can dissect through tissues.
Observation:
- A 45-year-old male developed bilateral pneumothorax and severe cervicofacial subcutaneous emphysema post-third molar extraction.
- Computed tomography revealed air extending from deep facial spaces to the chest wall.
Findings:
- The patient presented with bilateral pneumothorax and pneumomediastinum.
- Air dissection into deep anatomic spaces and the chest wall was confirmed via CT scan.
Implications:
- Pressurized air from dental tools can lead to serious thoracic complications.
- Awareness and careful technique are crucial to prevent air dissection during oral surgery.