Dezeros G, Mougel J P, Maloisel M M, Simon A
Ann Fr Anesth Reanim. 1984;3(2):140-2. doi: 10.1016/S0750-7658(84)80013-1.
One case of pneumomediastinum due to subcutaneous emphysema occurring after using a high speed air turbine drill during dental extraction was described, as only a few cases have been published in the literature. Air may have entered the soft tissues directly by being forced down the gingival crevice. The air may then have passed by way of the fascial planes to enter deeper structures and the mediastinum. The consequences of this condition after general anaesthesia were discussed, more common aetiologies being tracheal or oesophageal rupture, bronchial rupture or pneumothorax.
本文描述了1例拔牙时使用高速气涡轮钻后发生皮下气肿导致纵隔气肿的病例，因为文献中仅有少数病例报道。空气可能通过牙龈裂隙被压入而直接进入软组织。然后，空气可能通过筋膜平面进入更深层结构和纵隔。文中讨论了全身麻醉后这种情况的后果，更常见的病因是气管或食管破裂、支气管破裂或气胸。
