Facial Emphysema Research Articles

Emphysème cutané iatrogène

Tracheal perforation following orotracheal intubation is a rare but classic complication of general anaesthesia, and marked cutaneous emphysema can occur. We report a rare case of facial cutaneous emphysema revealed by swelling with pseudovesicles on the eyelids. A 99-year-old woman developed extensive facial swelling with pseudo-vesicles on the upper and lower eyelids following right hip replacement surgery. Swelling of the upper members and thoracic area was also seen. Chest X-rays showed marked cutaneous emphysema of the thoracic wall. Bronchial endoscopy revealed perforation of the posterior aspect of the trachea. The patient was presenting cutaneous emphysema as a result of post-intubation tracheal perforation. We report a rare case of cutaneous emphysema in a 99-year-old woman after tracheal perforation following orotracheal intubation. The significant feature of our case report is the actual manifestation of the condition. Our patient developed swelling of the eyelid with pseudovesicles. When confronted with sudden onset of pseudovesicles of the eyelids after surgery, dermatologists must not misdiagnose cutaneous emphysema and must examine their patient carefully for other clinical signs. Bronchial endoscopy should be undertaken immediately to investigate for tracheal perforation.

Iatrogenic Pneumomediastinum and Facial Emphysema After Surgical Tooth Extraction

Iatrogenic Pneumomediastinum and Facial Emphysema After Surgical Tooth Extraction

Massive Pneumomediastinum and Subcutaneous Emphysema Secondary to Isolated Zygomaticomaxillary Complex Fracture

Posttraumatic subcutaneous emphysema is a well-known complication after facial injury, but diffusion of gas into the mediastinum is uncommon. There are only a few cases described in the literature of a pneumomediastinum (PM) after an isolated facial trauma. We report a case of posttraumatic facial emphysema and PM after an isolated zygomaticomaxillary complex fracture due to assault.The diagnosis of PM and its extension until the diaphragm were confirmed by computed tomogram. The patient recovered after treatment with antibiotics and analgesia. The zygomaticomaxillary complex fracture was treated 10 days later.

Cervicofacial Emphysema Secondary to Facebow Injury: A Case Report

To report the clinical case of a child with facial and periorbital emphysema caused by an orthodontic device. 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. 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.

Subcutaneous Cervical and Facial Emphysema with the Use of the Bonfils Fiberscope and High-Flow Oxygen Insufflation

We present a case in which use of the Bonfils retromolar intubation fiberscope resulted in cervical and facial subcutaneous emphysema. The patient was a 75-yr-old woman with Mallampati Grade I airway. The Bonfils retromolar intubation fiberscope was used for teaching purposes. Flow on the oxygen port of the fiberscope was set at 10 L/min. Immediately after insertion of the scope, her whole face and cervical skin showed severe subcutaneous emphysema. The patient was intubated conventionally and the emphysema resolved within 24 h. Subcutaneous emphysema after air insufflation is known from dental procedures with air entering through holes in the teeth. In our case, the oxygen insufflation was sufficient to create emphysema, probably through tiny mucosal lesions.

Spontaneous maxillary sinus rupture in the absence of pre-existing sinus disease: case report

Spontaneous fracture of the maxillary sinus is usually associated with enophthalmos and pre-existing sinus disease. We present a case of spontaneous maxillary sinus fracture without enophthalmos and with no preceding history of trauma or evidence of sinusitis. The closest condition to that presented is silent sinus syndrome. The differences between our case and this syndrome are reviewed. There are no previously reported cases of lateral wall maxillary fracture and associated facial surgical emphysema following nose-blowing.

Facial emphysema caused by cheek bite

Biting of the buccal mucosa is very frequent injury, whereas facial emphysema caused by cheek bite is rare. We report a case of facial emphysema causing puffing of the cheek through a self-inflicted bite of the buccal mucosa.

Iatrogenic pneumomediastinum and facial emphysema after endodontic treatment

Subcutaneous emphysema is well known, but diffusion of gas into the mediastinum is not so common, particularly if it is caused by treatment of a root canal without apparent osseous fenestration or mucoperiostal lesions. We report a case of iatrogenic pneumomediastinum and facial emphysema after endodontic treatment. The diagnosis was confirmed by computed tomography, and the patient recovered after treatment with intravenous antibiotics and analgesia.

Subcutaneous emphysema, pneumomediastinum and pneumothorax after laryngeal laser surgery

Subcutaneous emphysema, pneumomediastinum and pneumothorax after laryngeal laser surgery

Unilateral facial emphysema secondary to a minor trauma

Emphysema following fractures involving maxillary sinus is rare. A case with unilateral traumatic facial emphysema due to a tiny fracture of the base of maxillary sinus is presented.

Three Cases of Traumatic Facial Emphysema

Three Cases of Traumatic Facial Emphysema

Spontaneous subcutaneous temporal emphysema

The presence of air in the temporal regions is an uncommon presentation of spontaneous pneumomediastinum. As terminal alveoli rupture, air dissects along bronchovascular shafts. Usually, air travels either in a superior or inferior direction. Thus, extensive spontaneous subcutaneous emphysema accompanied by both cervical and retroperitoneal emphysema is rarely encountered. We present an unusual case of spontaneous pneumomediastinum, pneumoretroperitoneum, and cervical and facial emphysema presenting as bilateral painless temporal swelling. To our knowledge, this association has not been reported. Treatment involves observation for potentially life-threatening sequelae. (Am J Otolaryngol 2000;21;337-339. Copyright © 2000 by W.B. Saunders Company)

Fractura de hioides y enfisema cervical subcutáneo traumático por intento de ahorcamiento. A propósito de un caso

We describe a patient with a history of psychiatric disorder who was brought to our hospital after attempted suicide by hanging. Severe subcutaneous facial, palpebral and cervical emphysema was present, with dysphonia, dysphagia and slight respiratory difficulty. Fiberoptic bronchoscopy revealed upper airway obstruction due to edema in an intact airway. Successive CAT scans gave evidence of hyoid fracture and laryngocele, in addition to the corresponding emphysema of the subcutaneous area and pneumomediastinum. Given the persistence of dysphagia, we ordered esophageal tests, which showed functional alteration of the upper esophageal sphincter. Suprasternal cervicotomy to drain the pneumomediastinum and laryngeal microsurgery to treat the laryngocele resolved the problem.

Pneumomediastinum: an unusual radiographic finding following mid-facial trauma injury

Introduction Pneumomediastinum following injury is usually caused by severe thoracic injury, resulting in perforation of the trachea, bronchus, lung, oesophagus or an intra-abdominal viscus. Resulting free air within the tissues may then ascend via the subcutaneous space and fascial planes to produce cervical and facial emphysema. There are only three reported cases in which the reverse had occurred, whereby free intrathoracic air is secondary to cervicofacial emphysema. The proximity of the orbit to the paranasal air sinuses means that fractures in this region are particularly likely to result in surgical emphysema. We report a case in which this phenomenon resulted in a pneumomediastinum. the left naso-orbital region (Figure 1). Surgical emphysema was palpable around the left eye and cheek, and extended down both sides of the neck. The patient stated that this swelling had developed rapidly after he had blown his nose in an attempt to clear it of blood. There was no dyspnoea or tachypnoea and examination of the cardiovascular and respiratory systems was normal. However, in view of the surgical emphysema, a chest radiograph was performed to exclude pneumothorax. No pneumothorax was seen, but a marked pneumomediastinum was clearly visible (Figure 2). A course of intravenous Amoxycillin was commenced to reduce the risk of mediastinitis.

Subcutaneous facial emphysema resulting from routine tooth preparation: A clinical report

S u b c u t a n e o u s emphysema is a complication tha t may occur subsequent to denta l extract ion procedures. 1-6 Emphysema of the head and neck may resul t from air-water coolant spray from high-speed air-driven handpieces used for tooth sectioning. 4 Sectioning of a tooth during an extract ion procedure should involve the use of a denta l handpiece in which the air s t ream under pressure is directed away from the field of operation. 2, 4, 5 This makes it possible to avoid the introduct ion of a i r under pressure into subcutaneous spaces of the head and neck during the course of tooth removal. The entry of air into the face is not l imited to tooth extractions, but may also occur through other portals of entry, which include endodontically t rea ted teeth, 1 the periodontium, 7 and lacerat ions of in t raora l soft t issues. 1 This clinical repor t i l lus t ra tes how the or ientat ion of a high-speed denta l handpiece used for a crown prepara t ion made it possible for a i r under pressure to be driven into a lacerat ion in a pat ient ' s buccal mucosa. The unique feature of this occurrence of subcutaneous emphysema is tha t the ent ry of a i r from the mouth into the face occurred as a result of a i r being forced under pressure away from, ins tead of toward the field of operation.

Pharyngeal Emphysema with Airway Obstruction as a Consequence of Laparoscopic Inguinal Herniorrhaphy

Pharyngeal Emphysema with Airway Obstruction as a Consequence of Laparoscopic Inguinal Herniorrhaphy

FACIAL EMPHYSEMA AND ENDODONTICS

Australian Endodontic NewsletterVolume 10, Issue 1 p. 24-25 FACIAL EMPHYSEMA AND ENDODONTICS DR JOHN BOOTH, DR JOHN BOOTH 198 North Terrace Adelaide, S.A. 5000Search for more papers by this author DR JOHN BOOTH, DR JOHN BOOTH 198 North Terrace Adelaide, S.A. 5000Search for more papers by this author First published: August 1984 https://doi.org/10.1111/j.1747-4477.1984.tb00611.xCitations: 1AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article.Citing Literature Volume10, Issue1August 1984Pages 24-25 RelatedInformation

Facial emphysema caused by hydrogen peroxide irrigation: report of case

A case is described in which a facial emphysema occurred during irrigation with hydrogen peroxide in the course of endodontic treatment. The emphysema lasted for three days and was accompanied by sharp pain during the first day.

Subcutaneous facial emphysema following an amalgam restoration

Subcutaneous facial emphysema following an amalgam restoration

Recurrent Severe Facial Emphysema in a Submariner

Emphysema can result from various causes. It frequently resolves spontaneously within three to five days, but it can be fatal. An active, highly trained young submariner may have lost his chosen career and possibly even his life because of severe recurrent emphysema. The emphysema was caused by a painless dental defect that permitted air to enter facial interstitial spaces. Treatment required only the elimination of the existing aperture.