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Subcutaneous emphysema after uncommon traumatic and iatrogenic events: a report of two cases

J Korean Dent Assoc > Volume 56(11); 2018 > Article
The Journal of The Korean Dental Association 2018;56(11):598-604.
Published online November 30, 2018.
Subcutaneous emphysema after uncommon traumatic and iatrogenic events: a report of two cases
Min-Su Kim1, Gyu-Tae Kim2, Choong-Nam Kim3, Soo-Ho Kim4, Eui-Seok Lee5, Ho-Kyung Lim6
1Dept. of Oral and Maxillofacial Surgery, Korea University Guro Hospital
2Dept. of Oral and Maxillofacial Surgery, Korea University Guro Hospital
3Dept. of Oral and Maxillofacial Surgery, Korea University Guro Hospital
4Dept. of Oral and Maxillofacial Surgery, Korea University Guro Hospital
5Dept. of Oral and Maxillofacial Surgery, Korea University Guro Hospital
6Dept. of Oral and Maxillofacial Surgery, Korea University Guro Hospital
Abstract
Cervicofacial subcutaneous emphysema is defined as the abnormal introduction of air into the subcutaneous tissues of the head and neck. It is mainly iatrogenic and traumatic in origin. Our two case reports are also due to the same cause, but the features of the trauma and the site of the dental treatment are different from the existing reports. A 29-year-old man visited our hospital with facial swelling and pain after experiencing facial trauma in a soccer game. Another 55-year-old woman visited with similar symptoms after replacement of her maxillary anterior fixed prosthesis. In the two cases presented, subcutaneous emphysema was gradually treated with no complications during antibiotic prophylaxis and supportive care. In this paper, we report two cases of traumatic and iatrogenic subcutaneous emphysema and their diagnoses, etiologies, complications, and treatments based on a literature review.
Key Words: Subcutaneous emphysema;Facial trauma;Iatrogenic;


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