Department of Family Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2009 Oct;25(10):562-6. doi: 10.1016/S1607-551X(09)70550-9.
Surgical emphysema is an uncommon but potentially serious complication of third molar removal and other oral procedures. The purpose of this case report is to remind dentists of the risk of surgical emphysema. Surgical emphysema developed in a 32-year-old female after removal of a mandibular third molar using a high-speed dental hand-piece. Because of the extent of the swelling, the patient was admitted for observation. Because of progressive swelling, a submandibular surgical incision and drainage was performed, which led to rapid resolution. The diagnosis and differential diagnosis of surgical emphysema are discussed to draw dentists' attention to the management and prevention of this complication.
手术性皮下气肿是第三磨牙拔除和其他口腔手术中一种罕见但潜在严重的并发症。本病例报告的目的是提醒牙医注意手术性皮下气肿的风险。一名 32 岁女性在使用高速牙科手机拔除下颌第三磨牙后发生手术性皮下气肿。由于肿胀范围较大，患者被收治住院观察。由于肿胀持续进展，行下颌下切开引流术，术后肿胀迅速消退。讨论了手术性皮下气肿的诊断和鉴别诊断，以引起牙医对该并发症的管理和预防的重视。
