Aim: To report the clinical case of a child with facial and periorbital emphysema caused by an orthodontic device.
Case Report: An 11-year-old child presented to our clinic showing moderate swelling of the left facial area. Based on his dental history, physical findings, and instrument examinations, the diagnosis of cervicofacial emphysema was established, caused by disengagement of the facebow. One week later, all swelling and crepitus had disappeared without complications. Most patients who develop subcutaneous emphysema after a dental procedure have only moderate local swelling, which normally resolves spontaneously and without complications within a week. However the spread of large amounts of air into the deeper spaces may cause life-threatening sequelae.
Conclusions: Orthodontists should be aware that the use of extraoral traction applied via a facebow can cause soft tissue injures and emphysema of the cervicofacial region. It is important to avoid misdiagnosis and to appropriately inform patient and parents about this condition.
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http://dx.doi.org/10.17796/jcpd.33.4.0110rnkw525455t8 | DOI Listing |
A A Pract
January 2025
From the Departments of Anesthesiology.
Nasotracheal intubation is a commonly used technique in elective oral and pharyngeal surgeries. This case report details an incident involving a young adult patient in which an attempt at nasotracheal intubation resulted in a life-threatening cervicofacial and thoracic emphysema. Although complications associated with nasotracheal intubation are rare, their potential severity necessitates a comprehensive preprocedural discussion and risk assessment with the surgical team to confirm its appropriate indication for each individual patient.
View Article and Find Full Text PDFIntractable Rare Dis Res
November 2024
Division of Pulmonary Medicine, Northshore University Hospital, Manhasset, NY, USA.
Cervicofacial Emphysema (CFE) is a self-limiting condition, defined by the presence of air in face and neck. The purpose of the manuscript is to systematically review the existing literature on CFE evaluation and management for updated clinical understanding of this condition. A literature search was conducted of publications about CFE on PubMed and Google Scholar by identifying all the articles with key search terms "Cervicofacial Emphysema" and "Sub Cutaneous Emphysema".
View Article and Find Full Text PDFInt J Surg Case Rep
July 2024
Regional Hospital of Sidi Bouzid, Tunisia.
Introduction: Tonsillectomy is known as one of the safest otorhinolaryngology surgery procedure. Rarely, it can lead to serious complications. Cervico-facial emphysema is an exceptional complication of tonsillectomy.
View Article and Find Full Text PDFOper Dent
May 2024
*Mi Hyun Seo, DDS, MSD, PhD, Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University; Department of One-stop Specialty Center, Seoul National University Dental Hospital, Seoul, Korea.
Air can become trapped within the subcutaneous layer of the cervicofacial area, a condition known as subcutaneous emphysema (SE), unexpectedly after routine dental procedures. SE can worsen by extending superiorly to the peri-orbital region and inferiorly to the thorax and abdomen along the fascial planes. Upward progression can result in cavernous sinus thrombosis.
View Article and Find Full Text PDFJAMA Ophthalmol
June 2024
Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, Nova Scotia, Canada.
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