X-rays showed extensive subcutaneous emphysema

Subcutaneous emphysema air is a rare condition that results when air is blown under pressure into the tissue where it normally is not present, for example, in the face and neck. As it relates to dental procedure, subcutaneous emphysema air, often occurs after removal of mandibular (lower) third molars. As this condition of varying severity and may require hospitalization, dentists should be able to diagnose it correctly. Sudden swelling of the face during the procedure, in which compressed air is used, the feeling of air in the tissues, pain and crepitus (crackling) are diagnostic features. X-ray evidence may be received. Case represented the young man who had third molars removed and developed a feeling of fullness in the cheek and then the other side of his face and his neck. He experienced shortness of breath, difficulty swallowing, and inability to turn her head. Immediately after tooth extraction dentist explained to the patient that his symptoms were related to the air that came in his face, but decides. However, discomfort and shortness of breath continued lasix 5 mg and the patient reported for emergency treatment after a few hours. X-rays showed extensive subcutaneous emphysema air in the neck and shoulders. Antibiotics have been appointed and the state gradually subsided over the next two weeks. Four causes of subcutaneous emphysema of dental procedures are considered: the patient's actions, which will increase pressure on the site of dental procedures (such as playing horn), the use of compressed air during the procedure difficult or lengthy extraction and no apparent reason. In this case, the type of dental handpiece was selected is not suitable for the procedure in which tissue valves removed because they must be in mining, as well as water and compressed air is delivered. Sudden swelling and crepitance main danger signs of subcutaneous emphysema air. (Consumer Summary of Reliance Medical Information, Inc)

Subcutaneous emphysema of face and neck is a condition in which air is blown into the tissue spaces, where it usually is not present. It usually results from trauma or face the use of cooling air drill in open wounds. The case history was discussed young woman who developed subcutaneous emphysema after dentist tried to remove the left lower molar with high speed air-cooled drill. It worked great emphysema in individuals and tissues around the eyes. The patient was eventually left partially blind with visual field deficits and other symptoms. The feeling of discomfort person and expansion began during treatment, but was diagnosed with an allergic reaction. Allergy newly diagnosed when the patient visited the emergency room, the diagnosis was revised in subcutaneous emphysema, if further tests were conducted after its arrival to the hospital. When sudden edema (swelling) occurs during dental procedures, allergy should always be considered, but in the absence of other acute symptoms of allergies (such as heart or respiratory tract), subcutaneous emphysema should be considered. Crepitus (crackling) and edema are important diagnostic signs of subcutaneous emphysema. Particular attention to the dental staff to use appropriate methods and to avoid this condition is essential. (Consumer Summary of Reliance Medical Information, Inc).