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Subcutaneous emphysema related to dental procedures
Cheol-Hee Jeong1, Seungkyu Yoon1, Seung-Won Chung2
1Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul, Korea.
Journal of the Korean Association of Oral and Maxillofacial Surgeons
|November 8, 2018
Summary
Subcutaneous emphysema after dental procedures typically improves within weeks with conservative and antibiotic treatment. The extent of emphysema, whether facial or spreading to the neck, did not significantly alter the treatment duration.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Medicine
- Surgical Complications
Background:
- Subcutaneous emphysema is a rare complication following dental procedures.
- Accurate diagnosis and effective treatment are crucial for patient outcomes.
Purpose of the Study:
- To analyze cases of dental procedure-associated subcutaneous emphysema.
- To discuss diagnostic and treatment strategies.
- To compare outcomes based on emphysema extent.
Main Methods:
- Retrospective analysis of 11 patient records (Jan 2009 - Apr 2017).
- Comparison of patients with facial vs. neck-spreading emphysema.
- Correlation analysis between origin tooth location and emphysema spread.
Main Results:
- Average antibiotic use: 8.55 days; average follow-up: 1.82 weeks.
- No significant difference in treatment duration based on emphysema extent.
- Emphysema more frequent after maxillary/posterior dental procedures.
Conclusions:
- Conservative and prophylactic antibiotic treatment leads to improvement within weeks.
- Treatment duration is similar for localized and widespread emphysema.
- Further studies with larger cohorts are warranted.
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