Int J Stomatol

Int J Stomatol ›› 2020, Vol. 47 ›› Issue (5): 563-566.doi: 10.7518/gjkq.2020099

• Case Report • Previous Articles     Next Articles

Root canal retreatment with subcutaneous emphysema: a case report

Tan Kaixuan1,2(),Li Fan1,Zhang Lijuan1,Li Shanshan1,Lu Jie1,2,Zhang Ying1,Yang Fang1()   

  1. 1.Dept. of Stomatology, Qingdao Municipal Hospital, Qingdao 266000, China
    2.School of Stomatology, Dalian Medical University, Dalian 116044, China
  • Received:2020-02-05 Revised:2020-06-02 Online:2020-09-01 Published:2020-09-16
  • Contact: Fang Yang E-mail:tankixuan@163.com;fancy-yf@163.com
  • Supported by:
    National Natural Science Foundation of China(81670979)

RichHTML

548

PDF (PC)

2647

Abstract:

Subcutaneous emphysema is a rare complication after dental treatment and is characterized by the swelling of soft tissues caused by air passing through the skin and submucosa. Air can enter the buccal space and temporal space through connective tissues in the face and neck and even spread to the thorax and mediastinum; thus, this condition is life-threatening. This article reports a case of subcutaneous emphysema during root canal retreatment of right maxillary central incisor, analyzes the causes, and discusses its diagnosis and treatment measures.

Key words: subcutaneous emphysema, root canal treatment, complication

CLC Number: 

  • R781.05

TrendMD: 

Fig 1

The radiography images before treatment"

Fig 2

The facial and intraoral images on the day of treatment (A and B) and after 10 d following the initial visit (C and D)"

Fig 3

The radiography (A, B and C) and microscope images (D) during treatment"

Fig 4

The CBCT images after treatment and 3 months following the initial visit"

[1] Turnbull A. A remarkable coincidence in dental sur-gery[J]. BMJ, 1900,1(2053):1131.
[2] Tay YBE, Loh WS. Extensive subcutaneous emphysema, pneumomediastinum, and pneumorrhachis following third molar surgery[J]. Int J Oral Maxillofac Surg, 2018,47(12):1609-1612.
doi: 10.1016/j.ijom.2018.04.023 pmid: 29752202
[3] 谌君. 拔牙术后感染和皮下气肿的原因与防治[J]. 全科口腔医学电子杂志, 2019,6(15):25-26.
Chen J . Causes and prevention of infection and sub-cutaneous emphysema[J]. Electron J Gener Stomatol, 2019,6(15):25-26.
[4] North L, Sulman C. Subcutaneous emphysema and vocal fold paresis as a complication of a dental pro-cedure[J]. Int J Pediatr Otorhinolaryngol, 2019,124:76-78.
pmid: 31170557
[5] Mascarenhas RJ. Management of subcutaneous facial emphysema secondary to a class Ⅴ dental re-storation[J]. Clin Case Rep, 2019,7(5):1025-1030.
pmid: 31110739
[6] Abrahams JM, Jakubowski J, Liang D, et al. Subcu-taneous emphysema to the head and neck resulting from a dental crown preparation[J]. J Mich Dent Assoc, 2013,95(3):54-56.
pmid: 23777004
[7] Santos SE, Sawazaki R, Asprino L, et al. A rare case of mediastinal and cervical emphysema secondary mandibular angle fracture: a case report[J]. J Oral Maxillofac Surg, 2011,69(10):2626-2630.
doi: 10.1016/j.joms.2011.02.094 pmid: 21683498
[8] Mitsunaga S, Iwai T, Aoki N, et al. Cervicofacial subcutaneous and mediastinal emphysema caused by air cooling spray of dental laser[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2013,115(6):e13-e16.
doi: 10.1016/j.oooo.2011.10.037 pmid: 22762919
[9] Torgay A, Aydin E, Cilasun U, et al. Subcutaneous emphysema after dental treatment: a case report[J]. Paediatr Anaesth, 2006,16(3):314-317.
doi: 10.1111/j.1460-9592.2005.01665.x pmid: 16490097
[10] Kaufman AY. Facial emphysema caused by hydrogen peroxide irrigation: report of a case[J]. J Endod, 1981,7(10):470-472.
doi: 10.1016/s0099-2399(81)80309-3 pmid: 6945389
[11] Smatt Y, Browaeys H, Genay A, et al. Iatrogenic pneumomediastinum and facial emphysema after endodontic treatment[J]. Br J Oral Maxillofac Surg, 2004,42(2):160-162.
doi: 10.1016/S0266-4356(03)00240-7 pmid: 15013551
[12] Tenore G, Palaia G, Ciolfi C, et al. Subcutaneous emphysema during root canal therapy: endodontic accident by sodium hypoclorite[J]. Ann Stomatol, 2017,8(3):117-122.
[13] Chang CH, Lien WC. Palpebral emphysema following a dental procedure[J]. Am J Emerg Med, 2018, 36 (5): 908. e1- 908. e2.
doi: 10.1016/j.ajem.2018.01.077
[14] Yang SC, Chiu TH, Lin TJ, et al. Subcutaneous emphysema and pneumomediastinum secondary to dental extraction: a case report and literature review[J]. Kaohsiung J Med Sci, 2006,22(12):641-645.
doi: 10.1016/S1607-551X(09)70366-3 pmid: 17116627
[15] Romeo U, Galanakis A, Lerario F, et al. Subcutaneous emphysema during third molar surgery: a case report[J]. Braz Dent J, 2011,22(1):83-86.
doi: 10.1590/s0103-64402011000100015 pmid: 21519655
[16] Mitsunaga S, Iwai T, Kitajima H, et al. Cervicofacial subcutaneous emphysema associated with dental laser treatment[J]. Aust Dent J, 2013,58(4):424-427.
doi: 10.1111/adj.12119
[17] McKenzie WS, Rosenberg M. Latrogenic subcutaneous emphysema of dental and surgical origin: a literature review[J]. J Oral Maxillofac Surg, 2009,67(6):1265-1268.
pmid: 19446214
[18] Rad MV, Chan EKY, Ahmed IH. Cervicofacial sub-cutaneous emphysema and pneumomediastinum secondary to dental treatment in a young man[J]. Respir Med Case Rep, 2019,28:100918.
pmid: 31417844
[19] Gamboa Vidal CA, Vega Pizarro CA, Almeida Ar-riagada A. Subcutaneous emphysema secondary to dental treatment: case report[J]. Med Oral Patol Oral Cir Bucal, 2007,12(1):E76-E78.
pmid: 17195836
[20] Sainsbury D, Jaiganesh T. Dentist’s drill allergy[J]. Int J Emerg Med, 2010,3(4):427-429.
doi: 10.1007/s12245-010-0189-5
[1] Huangphattarakul Vicha,Man Yi.. Research progress on mucoperiosteum perforation in maxillary sinus elevation [J]. Int J Stomatol, 2023, 50(5): 552-557.
[2] Wang Renyi,Zhao Chengzhi,Pan Jian.. Research progress on the effects of prophylactic antibiotics on postoperative complications during the perioperative period of tooth extraction [J]. Int J Stomatol, 2023, 50(5): 558-565.
[3] Li Chunjie, Bi Xiaoqin, Zhu Guiquan.. Complications prevention and treatment after free flap reconstructive surgery for oral and maxillofacial tumor patients [J]. Int J Stomatol, 2023, 50(2): 127-137.
[4] Wang Luxuan,Hou Benxiang.. Effect of residual calcium hydroxide in root canal on root canal treatment [J]. Int J Stomatol, 2022, 49(3): 367-372.
[5] Ji Xiao,Jing Fangqi,Li Ya,Xue Jing. Data simulation optimization of root canal preparation sequence [J]. Int J Stomatol, 2022, 49(1): 37-47.
[6] He Rong,Liu Xuejun,Zhou Yukun. Systematic review on the effect of photon-initiated photoacoustic streaming in endodontic irrigation [J]. Int J Stomatol, 2021, 48(6): 644-655.
[7] Li Mixuezi,Zhang Chen. Clinical consideration on the application of computer-aided design/computer-aided manufacturing endocrown in molar restoration after root canal therapy [J]. Int J Stomatol, 2021, 48(3): 274-279.
[8] Shen Dongni,Shi Ying,Fu Baiping. Research progress on posterior occlusal veneer [J]. Int J Stomatol, 2021, 48(3): 287-291.
[9] Tang Bei,Zhao Wenjun,Wang Hu,Zheng Guangning,You Meng. Inferior alveolar nerve injury due to apical overfilling: two cases reports [J]. Int J Stomatol, 2020, 47(3): 293-296.
[10] Xu Qing’an,Fan Mingwen. Non-instrumental technique and multi-acoustic ultra-clean system for root-canal treatment [J]. Int J Stomatol, 2019, 46(5): 522-525.
[11] Fu Xunan,Xie Zhigang. Research progress on abutment technical complications in fixed implant-supported prostheses [J]. Int J Stomatol, 2019, 46(5): 571-577.
[12] Huang Lidong, Gong Weiyu, Dong Yanmei.. Research progress on root canal irrigation [J]. Inter J Stomatol, 2018, 45(4): 465-472.
[13] Zhang Rui1, Zhang Lingge1, Li Xihong1, Li Rui2. Influence of improved triangular flap on postoperative complications after mandibular third molar removal and its clinical application [J]. Inter J Stomatol, 2017, 44(2): 153-156.
[14] Li Ruhuang, Wang Xiao.. Research progress on prognosis factors of endodontic surgery [J]. Inter J Stomatol, 2016, 43(6): 721-724.
[15] Zou Huiru, Qin Zongchang. Research progress on root canal configuration of mandibular anterior teeth [J]. Inter J Stomatol, 2016, 43(3): 325-328.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 458 -460 .
[8] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 452 -454 .
[9] . [J]. Inter J Stomatol, 2008, 35(S1): .
[10] . [J]. Inter J Stomatol, 2008, 35(S1): .