Iatrogenic facial subcutaneous emphysema after endodontic treatment.
(2011) JBR-BTR — Vol. 94, n° 1, p. 38 (2019)
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- Authors
Deprez, Fabrice 
- Abstract
- (en) A 74-year-old woman was referred to the ophthalmologicdepartment by her dentist, for an acute left facial swelling afterextraction of the left higher canine (tooth n° 23). Patient presented left superior and inferior palpebral oedemaextending to left periorbital subcutaneous tissues (Fig. A – CT sur-face rendering). The skin appeared normal without any erythemaand palpation revealed typical subcutaneous gaseous crepitations.Dysphagia and dyspnea were absent. Complete extensive oph-thalmologic examination was also normal. Unenhanced facial CT was performed and revealed diffuse leftfacial subcutaneous emphysema involving both left eyelids, theleft malar Bichat fat and left peribuccal subcutaneous fat but alsothe left infratemporal, pterygomandibular and parapharyngealspaces(Fig. B – coronal views and Fig. C – axial views). No facialsinuses anomaly or bone interruption was observed on CT series,even in the left superior alveolar bones. These findings associatedwith recent dental extraction history allowed to diagnose iatro-genic left facial subcutaneous emphysema, caused by a high-speed dental hand-piece use.Treatment consisted on short oral corticotherapy and antibio-therapy (amoxycillin/clavulanic acid).
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Citations
Coulier, J., & Deprez, F. (2011). Iatrogenic facial subcutaneous emphysema after endodontic treatment. JBR-BTR, 94(1), 38. https://hdl.handle.net/2078.5/95150 (Original work published 2019)