Journal of Korean Dental Association

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J Korean Dent Assoc. 2018;56(11):598-604. Published online November 30, 2018.
DOI: https://doi.org/10.22974/jkda.2018.56.11.001
김민수1, 김규태2, 김충남3, 김수호4, 이의석5, 임호경6
1고려대학교 구로병원 구강악안면외과
2고려대학교 구로병원 구강악안면외과
3고려대학교 구로병원 구강악안면외과
4고려대학교 구로병원 구강악안면외과
5고려대학교 구로병원 구강악안면외과
6고려대학교 구로병원 구강악안면외과
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.

Keywords :Subcutaneous emphysema;Facial trauma;Iatrogenic;

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