Subcutaneous emphysema during restorative dentistry.

Autor: Steelman RJ; Pediatric Critical Care Medicine and Oral and Maxillofacial Surgery, Oregon Health and Science University, Portland, Oregon 97239, USA. steelmar@ohsu.edu, Johannes PW
Jazyk: angličtina
Zdroj: International journal of paediatric dentistry [Int J Paediatr Dent] 2007 May; Vol. 17 (3), pp. 228-9.
DOI: 10.1111/j.1365-263X.2006.00814.x
Abstrakt: Background: Subcutaneous emphysema is a rare occurrence in the dental setting. When it does occur, the entity may be mistaken for an anaphylactic reaction to a local anaesthetic agent or other medications used in dental surgery.
Case Report: During restorative treatment of a left second primary molar air was introduced under an operculum. Communication with submandibular and sublingual spaces to the mediastinum was established.
Conclusion: Therapy for subcutaneous emphysema involves, correct diagnosis and antibiotic coverage. Subcutaneous air will resolve over time so observation is indicated.
Databáze: MEDLINE