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下颌智齿拔除术中的皮下气肿:病例系列

Subcutaneous emphysema during mandibular wisdom tooth extraction: Cases series.

作者信息

Sarfi D, Haitami S, Farouk M, Ben Yahya I

机构信息

Oral Surgery, Dental Consultation and Treatment Center, Ibn Rochd University Hospital Center, Casablanca, BP, 9157, Morocco.

出版信息

Ann Med Surg (Lond). 2021 Nov 11;72:103039. doi: 10.1016/j.amsu.2021.103039. eCollection 2021 Dec.

Abstract

Subcutaneous emphysema occurs when air is forced under the tissue, causing swelling, crepitus on palpation, and the possibility of spreading along the fascial planes. Although subcutaneous emphysema secondary to dental procedures is rare, it can be a potentially fatal complication if not diagnosed and treated promptly and correctly. Dentists need to be able to differentiate subcutaneous emphysemas from more common disease processes that have similar clinical presentations. We report a 22-year-old male who underwent mandibular wisdom tooth extraction and subsequently developed extensive subcutaneous emphysema. The patient was quickly taken care of, in partnership with the maxillofacial department. The purpose of this report is to bring attention to the fact that obtaining an accurate diagnosis for this condition is very important and management on time can prevent serious complications.

摘要

皮下气肿是指空气被压入组织下方,导致肿胀、触诊时有捻发音,并有可能沿筋膜平面扩散。虽然牙科手术后继发的皮下气肿很少见,但如果不能及时正确诊断和治疗,可能会成为潜在的致命并发症。牙医需要能够将皮下气肿与具有相似临床表现的更常见疾病过程区分开来。我们报告一例22岁男性,其接受下颌智齿拔除术后出现广泛的皮下气肿。该患者与颌面外科合作,很快得到了妥善治疗。本报告的目的是提醒人们注意,对这种情况进行准确诊断非常重要,及时处理可预防严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1c/8591463/195e5eb44385/gr1.jpg

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