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自体骨移植继发皮下气肿:一例报告

Subcutaneous emphysema secondary to autogenous bone grafting: a case report.

作者信息

Zhang Xidan, Zhou Min, Zhu Xiting, Qin Ziqi, Ling Huiling, Zhu Zhuoli, Gan Xueqi

机构信息

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

, No. 14, 3Rd Section of Ren Min Nan Rd, Chengdu, Sichuan, 610041, China.

出版信息

BMC Oral Health. 2025 Apr 8;25(1):506. doi: 10.1186/s12903-025-05613-2.

Abstract

BACKGROUND

Subcutaneous emphysema, a rare complication after dental procedures, involves localized tissue swelling caused by air trapped within subcutaneous tissues. Its occurrence following autogenous bone grafting is extremely rare, with limited cases reported.

CASE PRESENTATION

This article describes delayed subcutaneous emphysema following autogenous bone grafting at both the donor site and the recipient site. The patient presented facial and labial swelling. Symptoms, clinical findings, and postoperative CBCT confirmed subcutaneous emphysema.

CONCLUSIONS

This case report highlights the rare occurrence of subcutaneous emphysema following autogenous bone grafting, with simultaneous involvement of donor and recipient sites. It emphasizes the need for heightened clinical awareness, timely diagnosis, and appropriate preventive measures to reduce the risk of SE in bone augmentation procedures.

摘要

背景

皮下气肿是牙科手术后一种罕见的并发症,是由皮下组织内 trapped 的空气引起的局部组织肿胀。自体骨移植后发生皮下气肿极为罕见,仅有少数病例报道。

病例报告

本文描述了自体骨移植后供区和受区均出现延迟性皮下气肿的情况。患者出现面部和唇部肿胀。症状、临床检查结果及术后CBCT均证实存在皮下气肿。

结论

本病例报告强调了自体骨移植后罕见的皮下气肿同时累及供区和受区的情况。强调了提高临床意识、及时诊断及采取适当预防措施以降低骨增量手术中皮下气肿风险的必要性。

原文中“trapped”未翻译完整,推测可能是“被困住的”之类意思。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07dd/11980312/d9cff4ba18c2/12903_2025_5613_Fig1_HTML.jpg

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