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Subcutaneous Emphysema after a Dental Procedure.

Daniela Brito1, Catarina Medeiros1, Lidia Caley1

  • 1Centro Hospitalar do Médio Tejo, Portugal.

European Journal of Case Reports in Internal Medicine
|March 10, 2022
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Subcutaneous emphysema, or air in soft tissues, is a rare dental procedure complication. While usually benign, this condition can become life-threatening, necessitating prompt diagnosis and management.

Keywords:
Subcutaneous emphysemaiatrogenic diseasemediastinal emphysema

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Area of Science:

  • Medicine
  • Dentistry
  • Radiology

Background:

  • Subcutaneous emphysema involves air in soft tissues, potentially arising from various causes including trauma and iatrogenic factors.
  • While typically benign, subcutaneous emphysema can lead to severe, life-threatening outcomes.
  • Its occurrence following dental procedures is infrequent.

Purpose of the Study:

  • To report a case of subcutaneous emphysema and pneumomediastinum after a dental procedure.
  • To highlight the diagnostic approach and potential severity of this rare complication.

Main Methods:

  • A case report of a 20-year-old male presenting with facial and neck swelling post-dental treatment.
  • Diagnosis confirmed via physical examination and computerized tomography (CT) scan.

Main Results:

  • The patient was diagnosed with subcutaneous emphysema and pneumomediastinum.
  • CT scan confirmed the presence and extent of air in the soft tissues and mediastinum.

Conclusions:

  • Subcutaneous emphysema is an uncommon but potentially serious complication of dental interventions.
  • Early recognition and appropriate treatment are crucial for favorable patient prognosis.