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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 1018-4406
Vol. 21, No. 2, 2011, pp. 253-255
Bioline Code: pe11044
Full paper language: English
Document type: Case Report
Document available free of charge

Iranian Journal of Pediatrics, Vol. 21, No. 2, 2011, pp. 253-255

 en Cervicofacial Emphysema and Pneumomediastinum Following Dental Extraction: Case Report
Afzali, Nargess; Malek, Abdolreza & Attar, Amir Hossein Hashemi


Background: Pneumomediastinum is commonly caused by iatrogenic injury such as surgery on the cervical planes and chest or by tracheostomy. It is also well known that emphysema may occur after dental treatments using an air turbine drill, but there have been few cases of emphysema which extended to the mediastinum.
Case Presentation: A 16-year-old boy is presented with subcutaneous emphysema and pneumomediastinum which developed 24 hours after surgery for extraction of an inferior second molar. We first describe history, clinical presentation and radiologic appearance of our patient and then review the literature about oral surgery causing pneumomediastinum.
Conclusion: Surgical procedures in oral cavity can lead to the development of emphysema and pneumomediastinum when air turbine dental drills are used. To avoid these complications, air turbine high speed drills should be used only in necessary cases.

Pneumomediastinum; Subcutaneous Emphysema; Dental Extraction; Oral Surgery

© Copyright 2011 Iran Journal of Pediatrics.
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