Cases reported "Emphysema"

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1/10. Cervicofacial subcutaneous air emphysema after dental extraction.

    A patient was seen by a general practitioner for surgical removal of his third molar. A standard high-speed handpiece was used to remove the tooth. During the procedure, subcutaneous emphysema developed. Later the same day, the patient's swelling increased and his airway was compromised. The patient's condition, the differential diagnosis, etiological factors, and treatment of this condition are all detailed within this clinical report.
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keywords = extraction
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2/10. Orbital emphysema causing vision loss after a dental extraction.

    The use of high-speed air-cooled rotary cutting instruments is common in dental practices. When used near open wounds, the forced air can lead to subcutaneous emphysema and involvement of vital structures. This case highlights the unfortunate episode of orbital emphysema with optic nerve damage after a pneumatically cooled drill was used in the removal of a mandibular second molar.
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keywords = extraction
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3/10. Pneumomediastinum and subcutaneous cervical emphysema during third molar extraction under general anesthesia.

    A case of pneumomediastinum and subcutaneous cervical emphysema during the extraction of third molars under general anesthesia has been presented. The most likely cause was pulmonary barotrauma secondary to a faulty expiratory valve. This emphasizes the need for the proper preoperative check of all anesthetic equipment. Although pneumomediastinum and subcutaneous cervical emphysema are usually self-limiting conditions with rapid recovery, the patient must undergo close observation for the possible development of serious complications.
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ranking = 1.25
keywords = extraction
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4/10. Extensive subcutaneous emphysema crossing the midline after a surgical extraction: report of case.

    A case of extensive subcutaneous emphysema is reported. The patient had a mandibular third molar extracted but did not experience any cervical edema until the morning after surgery. The emphysema did not appear to be caused by the surgical procedure, as emphysema caused by use of instruments becomes immediately apparent and no patient-related causes could be documented. However, a dressing of a tetracycline-steroid ointment in a petrolatum base and a hemostatic agent was placed in the tooth socket during surgery and the dressing may have allowed air into the deeper tissues. The patient was managed by hospitalization, antibiotic therapy, and rest. The tissue emphysema resolved gradually during a 5-day period.
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keywords = extraction
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5/10. Pneumomediastinum and subcutaneous emphysema following surgical extraction of mandibular third molars: three case reports.

    Three cases of subcutaneous emphysema following surgical extraction of lower third molars are presented. In two of the cases, pneumomediastinum developed. The direct cause of these complications is the combination of the use of an air turbine dental handpiece and the flap design. The propagation of the emphysema and means for its prevention are discussed.
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ranking = 1.25
keywords = extraction
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6/10. skull subcutaneous emphysema--a rare complication of vacuum extraction and scalp electrode.

    A full-term newborn infant with severe subcutaneous emphysema of the skull as a complication of vacuum extraction and scalp electrode wound is reported. We hypothesize that detachment of subcutaneous tissue and transmission of the negative pressure associated with the vacuum extraction resulted in entry of air through the scalp electrode wound.
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ranking = 1.5
keywords = extraction
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7/10. Pulmonary complications following endotracheal intubation for anesthesia in breech extraction.

    A 28-year-old, healthy pregnant patient developed bilateral pneumothorax, subcutaneous emphysema, pneumomediastinum, pneumoretroperitoneum and pneumoperitoneum following endotracheal intubation and manual ventilation during general anesthesia for breech extraction. It is likely that positive-pressure ventilation was the cause for this very rare combination of complications. Early recognition and treatment may prevent such a catastrophe.
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ranking = 1.25
keywords = extraction
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8/10. subcutaneous emphysema after extraction of maxillary teeth: report of a case.

    Inappropriate use of dental equipment that is powered by highly compressed air may directly lead to the formation of subcutaneous emphysema that involves the fascial planes of the head and neck. The high-speed dental handpiece and the air and water dental syringe are the instruments that are most commonly implicated in the reported cases. The treatment of such cases requires a reassured patient, prophylactic antibiotic coverage, and close postoperative follow-up care. patients should avoid maneuvers that could increase intraoral pressure. Complete resolution should be expected within one week.
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ranking = 1
keywords = extraction
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9/10. Subcutaneous facial emphysema complicating dental anaesthesia.

    A 20 year-old female developed swelling and protrusions of the tongue and marked facial swelling while under general anaesthesia for dental restoration and gigivectomy. The initial diagnosis was angioedema; however x-rays showed marked subcutaneous emphysema more extensive in the perimandibular area with a minimal amount in the neck. There was no evidence of pneumomediastinum or pneumothorax. The iatrogenic subcutaneous emphysema was felt to be due to air-driven dental equipment. Tracheal intubation was maintained for 21 hours to prevent airway obstruction. The patient was treated with oxygen and antibiotics. subcutaneous emphysema may occur following root canal therapy, tooth extraction, periodontal surgery and operative dentistry, due to the use of air-driven dental equipment. It has the potential to cause obstruction.
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ranking = 0.25
keywords = extraction
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10/10. Emphysematous complications in dentistry, 1960-1993: an illustrative case and review of the literature.

    Seventy-four reports of emphysematous complications in ambulatory dental patients, published in the English literature between the years 1960 and 1993, are reviewed, and an additional case of subcutaneous, retropharyngeal, and mediastinal emphysema following an impression-taking procedure for a crown preparation is presented. This rare complication occurred mainly in patients in the third and fifth decades of life, after dental procedures on the third molar, in particular during mandibular extractions and treatment on the right side. The use of an air syringe, high-speed handpieces, or their combination was reported in 71% of cases. Centripetal air dissection, with retropharyngeal and mediastinal emphysema, occurred in 35% of the patients, especially following extractions.
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ranking = 0.5
keywords = extraction
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