Cervicofacial emphysema following dental procedures

Monsour, P. A. and Savage, N. W. (1989) Cervicofacial emphysema following dental procedures. Australian Dental Journal, 34 5: 403-406. doi:10.1111/j.1834-7819.1989.tb00695.x

Author Monsour, P. A.
Savage, N. W.
Title Cervicofacial emphysema following dental procedures
Journal name Australian Dental Journal   Check publisher's open access policy
ISSN 0045-0421
Publication date 1989-10-01
Sub-type Article (original research)
DOI 10.1111/j.1834-7819.1989.tb00695.x
Open Access Status Not yet assessed
Volume 34
Issue 5
Start page 403
End page 406
Total pages 4
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Abstract Cervicofacial emphysema is an infrequently reported sequela to dental surgery. Most cases result from the accidental introduction of air into the soft tissues during the use of air-driven, high-speed handpieces or air/water syringes. Surgical procedures, in particular removal of lower third molars, predispose to the development of an emphysema. The clinical presentation is usually a facial or cervicofacial swelling coincident with the dental treatment. The use of air instruments, immediate onset, crepitus and often a radiographically discernible enlarged facial space are the diagnostic features. Pain is not usually a feature. The possibility of mediastinal involvement should be recognized and the patient monitored appropriately. Active treatment requirements are minimal. Reassurance of the patient, antibiotic prophylaxis and analgesics, if required, are generally sufficient. This paper reviews the above features and discusses means of prevention. Early recognition and appropriate management are emphasized.
Keyword Emphysema
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Dentistry Publications
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Created: Thu, 16 Mar 2017, 13:54:59 EST by Jackie Devenish on behalf of School of Dentistry