2015Acute Medicine & SurgeryOpen access

Iatrogenic subcutaneous emphysema and pneumomediastinum following a high‐speed air drill dental treatment procedure

Takeshi Nishimura, Tatsuo Sawai, Kanenori Kadoi, Taihei Yamada, Norichika Yoshie, Takahiro Ueda, Atsunori Nakao, Joji Kotani

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Abstract

Case: A patient was transported to our hospital with swelling in his right face and neck after restorative dental treatment. Subcutaneous emphysema and pneumomediastinum were discovered using computed tomography scans. Outcome: The patient had no severe symptoms. We prescribed prophylactic antibiotics and he recovered uneventfully. Conclusions: Clinicians must keep this pathology in mind because prompt diagnosis and treatment contribute to early improvement. Otherwise, patients may face life-threatening complications.

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Case: A patient was transported to our hospital with swelling in his right face and neck after restorative dental treatment. Subcutaneous emphysema and pneumomediastinum were discovered using computed tomography scans. Outcome: The patient had no severe symptoms. We prescribed prophylactic antibiotics and he recovered uneventfully. Conclusions: Clinicians must keep this pathology in mind because prompt diagnosis and treatment contribute to early improvement. Otherwise, patients may face life-threatening complications.

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Available abstract

Case: A patient was transported to our hospital with swelling in his right face and neck after restorative dental treatment. Subcutaneous emphysema and pneumomediastinum were discovered using computed tomography scans. Outcome: The patient had no severe symptoms. We prescribed prophylactic antibiotics and he recovered uneventfully. Conclusions: Clinicians must keep this pathology in mind because prompt diagnosis and treatment contribute to early improvement. Otherwise, patients may face life-threatening complications.

Key concepts: Pneumomediastinum, Subcutaneous emphysema, Medicine, Computed tomography, Surgery, Pneumothorax, Dental Procedure, Mediastinal Emphysema

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