Wright K J, Derkson G D, Riding K H
University of Connecticut, Farmington.
Pediatr Dent. 1991 Mar-Apr;13(2):110-3.
The intraoperative development of tissue-space emphysema in a child undergoing restorative treatment under general anesthesia is presented. Emphysema development seems to be concomitant with the use of compressed air around patent root canals, complicated by tissue destruction due to movement of canal irrigants/medicaments into the periapical tissues and by secondary infection. Several recommendations for the prevention of tissue-space emphysema are presented including the use of a rubber dam, judicious use of compressed air, and maintenance of canal irrigants and medicaments within the root canal. Treatment recommendations vary from palliative care with follow up in cases of facial emphysema to immediate medical attention in cases of pharyngeal or mediastinal emphysema.
本文介绍了一名儿童在全身麻醉下进行修复治疗时术中出现组织间隙气肿的情况。气肿的发生似乎与在开放根管周围使用压缩空气有关，同时还因根管冲洗液/药物进入根尖周组织导致组织破坏以及继发感染而变得复杂。文中提出了多项预防组织间隙气肿的建议，包括使用橡皮障、谨慎使用压缩空气以及将根管冲洗液和药物保持在根管内。治疗建议各不相同，从面部气肿时进行姑息治疗并随访，到咽部或纵隔气肿时立即就医。
