Smatt Y, Browaeys H, Genay A, Raoul G, Ferri J
Department of Stomatology and Maxillofacial Surgery, Centre Hospitalier Universitaire de Lille, 59037 Lille Cedex, France.
Br J Oral Maxillofac Surg. 2004 Apr;42(2):160-2. doi: 10.1016/S0266-4356(03)00240-7.
Subcutaneous emphysema is well known, but diffusion of gas into the mediastinum is not so common, particularly if it is caused by treatment of a root canal without apparent osseous fenestration or mucoperiostal lesions. We report a case of iatrogenic pneumomediastinum and facial emphysema after endodontic treatment. The diagnosis was confirmed by computed tomography, and the patient recovered after treatment with intravenous antibiotics and analgesia.