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A Case Report on Subcutaneous Emphysema and Pneumomediastinum Following a Routine Dental Procedure
Seth J Deskins1, Nancy E Brunner2, Matthew Brunner3
1Internal Medicine/Pediatrics, West Virginia University (WVU) Medicine, Morgantown, USA.
Cureus
|August 1, 2023
Summary
Routine dental work can rarely cause subcutaneous emphysema (SE) and pneumomediastinum. This case highlights the importance of recognizing these rare but potentially serious air-related complications following dental procedures.
Area of Science:
- Oral and Maxillofacial Surgery
- Thoracic Surgery
- Emergency Medicine
Background:
- Subcutaneous emphysema (SE) and pneumomediastinum are uncommon complications following dental procedures.
- These conditions involve air accumulating in the tissues beneath the skin and within the mediastinal space, respectively.
Observation:
- A 53-year-old female developed significant facial and neck swelling post-cavity filling.
- Computed tomography (CT) confirmed the presence of subcutaneous emphysema and pneumomediastinum.
Findings:
- The patient was treated with antibiotics and antiseptic mouth rinse.
- While typically self-limiting, SE and pneumomediastinum carry risks of infection and severe complications.
Implications:
- Dental professionals must be aware of these potential complications.
- Prompt recognition and appropriate management are crucial for patient safety and preventing adverse outcomes.
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