Læknablaðið - 15.09.2012, Side 34

SJÚKRATILFELLI
Heimildir
1. Tumbull A. A remarkable coincidence in dental surgery. Br
MedJ 1900:1131.
2. Horowitz I, Hirshberg A, Freedman A. Pneumomedias-
tinum and subcutaneous emphysema following surgical
extraction of mandibular third molars: three case reports.
Oral Surg Oral Med Oral Pathol 1987; 63: 25-8.
3. Rossiter JL, Hendrix RA. Iatrogenic subcutaneous cervico-
facial and mediastinal emphysema. J Otolaryngol 1991; 20:
315-9.
4. Fruhauf J, Weinke R, Pilger U, Kerl H, Mullegger RR. Soft
tissue cervicofacial emphysema after dental treatment:
report of 2 cases with emphasis on the differential diag-
nosis of angioedema. Arch Dermatol 2005; 141:1437-40.
5. Yoshimoto A, Mitamura Y, Nakamura H, Fujimura M.
Acute dyspnea during dental extraction. Respiration 2002;
69: 369-71.
6. Sekine J, Irie A, Dotsu H, Inokuchi T. Bilateral pneumo-
thorax with extensive subcutaneous emphysema mani-
fested during third molar surgery. A case report. Int J Oral
Maxillofac Surg 2000; 29: 355-7.
7. Shackelford D, Casani JA. Diffuse subcutaneous emphy-
sema, pneumomediastinum, and pneumothorax after
dental extraction. Ann Emerg Med 1993; 22: 248-50.
8. Davies JM, Campbell LA. Fatal air embolism during
dental implant surgery: a report of three cases. Can J
Anaesth 1990; 37:112-21.
9. Kim Y, Kim MR, Kim SJ. Iatrogenic pneumomediastinum
with extensive subcutaneous emphysema after endodontic
treatment: report of 2 cases. Oral Surg Oral Med Oral
Pathol Oral Radiol Endod 2010; 109: ell4-9.
10. Chan DC, Myers T, Sharaway M. A case for rubber dam
application-subcutaneous emphysema after Class V
procedure. Oper Dent 2007; 32:193-6.
11. Steelman RJ, Johannes PW. Subcutaneous emphysema
during restorative dentistry. Int J Paediatr Dent 2007; 17:
228-9.
12. Wakoh M, Saitou C, Kitagawa H, Suga K, Ushioda T, Kuro-
yanagi K. Computed tomography of emphysema following
tooth extraction. Dentomaxillofac Radiol 2000; 29:201-8.
13. Aragon SB, Dolwick MF, Buckley S. Pneumomediastinum
and subcutaneous cervical emphysema during third
molar extraction under general anesthesia. J Oral
Maxillofac Surg 1986; 44:141-4.
14. Josephson GD, Wambach BA, Noordzji JP. Subcutaneous
cervicofacial and mediastinal emphysema after dental
instrumentation. Otolaryngol Head Neck Surg 2001; 124:
170-1.
15. Breznick DA, Saporito JL. Iatrogenic retropharyngeal
emphysema with impending airway obstruction. Arch
Otolaryngol Head Neck Surg 1989; 115:1367-72.
ENGLISH SUMMARY
Cervicofascial Subcutaneous Emphysema and Pneumomediastinum Following Routine Restorative
Dentistry - Two Case Reports
Viktorsson TV', Einarsdottir H2, Benedikz E3, Torfason B4
Although a well-known complication of dental treatment, cervicofacial
subcutaneous emphysema is uncommon, especially with co-existing
pneumomediastinum. This complication is usually attributed to high-
speed air-driven handpieces or air-water syringes. Pneumomediastinum
is usually self-limiting but potentially life threatening. We present two
cases where both patients suffered from cervicofacial subcutaneous
emphysema, one additionally having pneumomediastinum following
routine restorative dentistry.
Key words: Cervicofacial emphysema, pneumomediastinum, dental restorative treatment.
Correspondence: Þorsteinn Viðar Viktorsson, steini.vidar@gmaii.com
'Department of Surgery, !Department of Diagnostic Radiology, 3Department of Emergency Room Medicine, 4Department of Cardiothoracic Surgery, Landspítali - The National
University Hospital oflceland.
474 LÆKNAblaðið 2012/98