Subcutaneous emphysema during surgical gingival depigmentation: a case report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Rasha Attia, Neveen Nabil, Maged Anis
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Abstract

Background: Subcutaneous emphysema related to dental procedures is well documented in literature. It usually occurs during or within minutes to hours after dental treatment and can be easily diagnosed by the presence of crepitus on palpation. Although it is self-limiting, it can develop to potentially life-threatening complications.

Case presentation: To the authors knowledge, this is the first report documenting the development of subcutaneous emphysema in a 22-year-old Egyptian female during lower surgical gingival depigmentation using NSK high speed, air driven handpiece operated at 0.25 MPa. Sudden swelling developed involving the right side of the face and immediate diagnosis of subcutaneous emphysema was made on the basis of the presence of crepitus during palpation of the swollen area. Intraoral examination revealed small tissue laceration of the loosely attached alveolar mucosa through which the pressurized air might have passed into the fascial spaces. Complete resolution of the swelling occurred after 7 days without further complications.

Conclusion: Straightforward surgical procedures, such as gingival depigmentation, can be complicated by the development of subcutaneous emphysema. The crucial role of dentists is to be aware of its signs and to immediately diagnose and manage it to avoid further complication.

牙龈脱色手术中的皮下气肿:病例报告。
背景:与牙科治疗相关的皮下气肿在文献中有大量记载。皮下气肿通常发生在牙科治疗过程中或治疗后数分钟至数小时内,通过触诊时出现的吱吱声很容易诊断。虽然该病具有自限性,但可能发展成潜在的危及生命的并发症:据作者所知,这是第一例记录一名 22 岁埃及女性在使用 NSK 高速气动手机以 0.25 兆帕进行下牙龈脱色手术时发生皮下气肿的报告。患者右侧面部突然肿胀,在触诊肿胀部位时有吱吱声,因此立即诊断为皮下气肿。口腔内检查发现,松散附着的牙槽粘膜有小的组织裂口,加压的空气可能通过这些裂口进入了筋膜间隙。7 天后肿胀完全消退,未出现其他并发症:结论:简单的外科手术,如牙龈脱色,可能会因皮下气肿的发生而变得复杂。牙医的关键作用在于了解其征兆,并立即进行诊断和处理,以避免进一步的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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