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Subcutaneous Emphysema Related to Dental Treatment: A Case Series

Cervicofacial subcutaneous emphysema (SE) is primarily caused by dental treatment introducing gas into the subcutaneous tissue. Air rapidly dissects into the subcutaneous tissue with face and neck swelling, leading to respiratory distress, patient discomfort, and chest pain. Computed tomography (CT)...

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Autores principales: Shimizu, Rieko, Sukegawa, Shintaro, Sukegawa, Yuka, Hasegawa, Kazuaki, Ono, Sawako, Fujimura, Ai, Yamamoto, Izumi, Ibaragi, Soichiro, Sasaki, Akira, Furuki, Yoshihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872011/
https://www.ncbi.nlm.nih.gov/pubmed/35206904
http://dx.doi.org/10.3390/healthcare10020290
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author Shimizu, Rieko
Sukegawa, Shintaro
Sukegawa, Yuka
Hasegawa, Kazuaki
Ono, Sawako
Fujimura, Ai
Yamamoto, Izumi
Ibaragi, Soichiro
Sasaki, Akira
Furuki, Yoshihiko
author_facet Shimizu, Rieko
Sukegawa, Shintaro
Sukegawa, Yuka
Hasegawa, Kazuaki
Ono, Sawako
Fujimura, Ai
Yamamoto, Izumi
Ibaragi, Soichiro
Sasaki, Akira
Furuki, Yoshihiko
author_sort Shimizu, Rieko
collection PubMed
description Cervicofacial subcutaneous emphysema (SE) is primarily caused by dental treatment introducing gas into the subcutaneous tissue. Air rapidly dissects into the subcutaneous tissue with face and neck swelling, leading to respiratory distress, patient discomfort, and chest pain. Computed tomography (CT) can detect spreading SE patterns. However, the true volume of SE and the degree of air changes in the body over time remain unknown. We evaluated the healing process of SE and the temporal changes in the volume of emphysema in three cases detected using our hospital’s electronic health record systems based on inclusion and exclusion criteria over the past 10 years, with CT and three-dimensional (3D) images. The first case was a 46-year-old woman who presented with complaints of swelling from her right eyelid to the neck and clavicles, pain on swallowing, respiratory distress, and hoarseness. The second case was a 35-year-old man who presented with complaints of swelling over the face. The third case was a 36-year-old man who presented with complaints of swelling from the left cheek to the neck. CT revealed SE and pneumomediastinum in all cases. All the patients were administered an antibacterial drug. The CT and 3D images showed an improvement in emphysema 3 days after the onset, with more than half of the volume reduction in emphysema. This made it possible to evaluate the changes in the air content of SE. Observation with CT until the healing process of SE is completed is crucial, and 3D images also help evaluate changes over time.
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spelling pubmed-88720112022-02-25 Subcutaneous Emphysema Related to Dental Treatment: A Case Series Shimizu, Rieko Sukegawa, Shintaro Sukegawa, Yuka Hasegawa, Kazuaki Ono, Sawako Fujimura, Ai Yamamoto, Izumi Ibaragi, Soichiro Sasaki, Akira Furuki, Yoshihiko Healthcare (Basel) Case Report Cervicofacial subcutaneous emphysema (SE) is primarily caused by dental treatment introducing gas into the subcutaneous tissue. Air rapidly dissects into the subcutaneous tissue with face and neck swelling, leading to respiratory distress, patient discomfort, and chest pain. Computed tomography (CT) can detect spreading SE patterns. However, the true volume of SE and the degree of air changes in the body over time remain unknown. We evaluated the healing process of SE and the temporal changes in the volume of emphysema in three cases detected using our hospital’s electronic health record systems based on inclusion and exclusion criteria over the past 10 years, with CT and three-dimensional (3D) images. The first case was a 46-year-old woman who presented with complaints of swelling from her right eyelid to the neck and clavicles, pain on swallowing, respiratory distress, and hoarseness. The second case was a 35-year-old man who presented with complaints of swelling over the face. The third case was a 36-year-old man who presented with complaints of swelling from the left cheek to the neck. CT revealed SE and pneumomediastinum in all cases. All the patients were administered an antibacterial drug. The CT and 3D images showed an improvement in emphysema 3 days after the onset, with more than half of the volume reduction in emphysema. This made it possible to evaluate the changes in the air content of SE. Observation with CT until the healing process of SE is completed is crucial, and 3D images also help evaluate changes over time. MDPI 2022-02-01 /pmc/articles/PMC8872011/ /pubmed/35206904 http://dx.doi.org/10.3390/healthcare10020290 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Shimizu, Rieko
Sukegawa, Shintaro
Sukegawa, Yuka
Hasegawa, Kazuaki
Ono, Sawako
Fujimura, Ai
Yamamoto, Izumi
Ibaragi, Soichiro
Sasaki, Akira
Furuki, Yoshihiko
Subcutaneous Emphysema Related to Dental Treatment: A Case Series
title Subcutaneous Emphysema Related to Dental Treatment: A Case Series
title_full Subcutaneous Emphysema Related to Dental Treatment: A Case Series
title_fullStr Subcutaneous Emphysema Related to Dental Treatment: A Case Series
title_full_unstemmed Subcutaneous Emphysema Related to Dental Treatment: A Case Series
title_short Subcutaneous Emphysema Related to Dental Treatment: A Case Series
title_sort subcutaneous emphysema related to dental treatment: a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872011/
https://www.ncbi.nlm.nih.gov/pubmed/35206904
http://dx.doi.org/10.3390/healthcare10020290
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