Clinical Fellow, Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Jun;115(6):e13-6. doi: 10.1016/j.oooo.2011.10.037. Epub 2012 Jul 3.
Cervicofacial subcutaneous emphysema is a rare complication of dental procedures with an air turbine or syringe, and dentists and oral surgeons sometimes encounter mediastinal emphysema following the presentation of extensive subcutaneous emphysema. Most emphysema occurs incidentally during tooth extraction, restorative treatment, or endodontic treatment, with only a few cases reported of cervicofacial subcutaneous emphysema associated with dental laser treatment. We report a case of cervicofacial subcutaneous and mediastinal emphysema caused by the air cooling spray of dental laser during dental treatment in a 76-year-old woman. After she underwent dental laser treatment, cervicofacial swelling was noted and she was referred to our department. Computed tomography showed both cervicofacial subcutaneous emphysema and mediastinal emphysema. Antibiotics were administered prophylactically and the emphysema disappeared 5 days after the dental laser treatment, without any complications.
颈面部皮下气肿是一种罕见的牙科涡轮机或注射器牙科操作并发症，牙医和口腔外科医生有时会在出现广泛皮下气肿后遇到纵隔气肿。大多数气肿在拔牙、修复治疗或根管治疗过程中偶然发生，只有少数几例报告与牙科激光治疗相关的颈面部皮下气肿。我们报告了一例 76 岁女性在牙科治疗中因牙科激光的空气冷却喷雾引起的颈面部皮下和纵隔气肿。在接受牙科激光治疗后，发现她的颈面部肿胀，并被转介到我们科室。计算机断层扫描显示颈面部皮下气肿和纵隔气肿。预防性使用抗生素，5 天后牙科激光治疗后，气肿消失，无任何并发症。
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