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Læknablaðið - 15.09.2012, Síða 34

Læknablaðið - 15.09.2012, Síða 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

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