SUBCUTANEOUS EMPHYSEMA AND MANDIBULAR THIRD MOLAR: A CASE REPORT AND REVIEW

  • Dr. Kanwaldeep Singh Soodan Department of Oral & Maxillofacial Surgery M M College of Dental Sciences and Research, Mullana, India
  • Dr. Nageshwar Iyer Department of Oral & Maxillofacial Surgery M M College of Dental Sciences and Research, Mullana, India
  • Dr. Pratiksha Priyadarshni Department of Oral & Maxillofacial Surgery M M College of Dental Sciences and Research, Mullana, India
Keywords: third molar, subcutaneous emphysema, surgical removal, complication

Abstract

Mandible third molar removal is the commonest surgery performed by oral and maxillofacial surgeons in routine practice. Surgical removal requires great expertise as it is associated with vital structures. Patients undergoing removal of impacted third molar usually experience significant postoperative pain, swelling and trismus. Subcutaneous emphysema defines to collection of air beneath subcutaneous tissue. Emphysema is more commonly seen in cases of facial bone fracture, infection by gas producing organisms, tracheotomies and anterior neck dissections. Subcutaneous emphysema due to dental treatment is an uncommon clinical complication. The purpose of this case report is to discuss the complication induced during mandibular third molar removal and to discuss the cause and treatment for same.

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References

1. Brabander E. C. and G. Cattaneo. The effect of surgical drain together with a secondary closure technique on postoperative trismus, swelling and pain
after mandibular third molar surgery. Int. J. Oral Maxillofac. Surg. 1998; 17: 119-21.
2. Mather AJ, Stoykewych AA, Curran JB. Cervicofacial and mediastinal emphysema complicating a dental procedure. J Can Dent Assoc 2006; 72:565–568.
3. Arai I, Aoki T, Yamazaki H, Ota Y, Kaneko A. Pneumomediastinum and subcutaneous emphysema after dental extraction detected incidentally by regular medical checkup: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: 33-38.
4. Turnbull A. A remarkable coincidence in dental surgery. Br Med J 1900; 1: 1131.
5. Bohnenkamp DM. Subcutaneous facial emphysema resulting from routine tooth preparation: a clinical report. J Prosthet Dent 1996; 76: 1-3.
6. Arai I, Aoki T, Yamazaki H, Ota Y, Kaneko A. Pneumomediastinum and subcutaneous emphysema after dental extraction detected incidentally by regular medical checkup: a case report. Oral Surg. Oral Med Oral Pathol. Oral Radiol. Endod. 2009; 107: 33-38.
7. Jean Li Lim. Periorbital oedema after dental extraction: a case study. Australian Family Physician 2014; 43(8): 543-544.
8. Gamboa Vidal CA, Vega Pizarro CA, Almeida Arriagada A. Subcutaneous emphysema secondary to dental treatment: case report. Med Oral Patol. Oral Cir Bucal. 2007; 12: 76-78.
9. McKenzie WS, Rosenberg M. Iatrogenic subcutaneous emphysema of dental and surgical origin: a literature review. J Oral Maxillofac. Surg. 2009; 67: 1265-1268.
10. Imai T, Michizawa M, Arimoto E, Kimoto M, Yura Y. Cervicofacial subcutaneous emphysema and pneumomediastinum after intraoral laser irradiation. J Oral Maxillofac. Surg. 2009; 67: 428-430.
11. Kim Y, Kim MR, Kim SJ. Iatrogenic pneumomediastinum with extensive subcutaneous emphysema after endodontic treatment: report of 2 cases. Oral Surg. Oral Med Oral Pathol. Oral Radiol. Endod. 2010; 109: 114-119.
12. Sekine J, Irie A, Dotsu H, Inokuchi T. Bilateral pneumothorax with extensive subcutaneous emphysema manifested during third molar surgery. A case report. Int J Oral Maxillofac Surg 2000;29: 355-357.
13. Parkar A, Medhurst C, Irbash M, Philpott C. Periorbital oedema and surgical emphysema, an unusual complication of a dental procedure: a case report. Cases J 2009; 2: 8108.
14. Ali A, Cunliffe DR, Watt-Smith SR. Surgical emphysema and pneumomediastinum complicating dental extraction. Br Dent J 2000; 188:589-590.
How to Cite
1.
Dr. Kanwaldeep Singh Soodan, Dr. Nageshwar Iyer, Dr. Pratiksha Priyadarshni. SUBCUTANEOUS EMPHYSEMA AND MANDIBULAR THIRD MOLAR: A CASE REPORT AND REVIEW. Med. res. chronicles [Internet]. 2016Apr.30 [cited 2024Dec.22];3(02):191-4. Available from: https://medrech.com/index.php/medrech/article/view/165
Section
Review Article