A case of mediastinal emphysema caused by root canal treatment using Er: YAG laser
A case of mediastinal emphysema caused by root canal treatment using Er: YAG laser
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DOI：
10.1016/j.ajoms.2019.10.013
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发表时间：
2020-03-01
影响因子：
0.4
通讯作者：
Ueno, Takaaki
中科院分区：
文献类型：
--
作者：
Kuromatsu, Yuki;Nakano, Hiroyuki;Ueno, Takaaki
皮下气肿经常被报道是因为牙科治疗而发展起来的。我们报告一例由牙科激光治疗引起的颈部面部、皮下和纵隔气肿。患者到医院就诊，主诉双侧额部肿胀疼痛，眼睑周围，从左脸颊到颈部。在计算机断层扫描上，发现从额头和面部左侧到颈部左侧散布着低吸收率的图像，表明空气渗透。我们让患者入院监测他的呼吸道，卧床休息，并开始预防性静脉注射抗生素治疗。结果，在牙齿激光治疗6天后，患者的颈部和面部肿胀消失，皮下毛刺几乎看不到。在这种情况下，虽然没有发生继发性感染，如纵隔炎，但有必要考虑在脓肿切开激光治疗后出现纵隔气肿的患者住院治疗。
Subcutaneous emphysema is often reported to develop because of dental treatment. We report a case of cervicofacial, subcutaneous, and mediastinal emphysema caused by dental laser treatment. The patient consulted our hospital complaining of swelling and pain across his both sides of the forehead, around the eye lid, from left cheek to the neck. On computed tomography, low absorption images indicative of air infiltration were found scattered from the forehead and left side of the face to the left side of the neck. We admitted the patient to monitor his airway, for bed rest, and to initiate prophylactic intravenous antibiotic therapy. Consequently, 6 days after the dental laser treatment, the patient's cervicofacial swelling disappeared and the subcutaneous crepitus was almost undetectable. In this case, although secondary infection such as mediastinitis did not develop, it is necessary to consider hospitalization of patients who developed mediastinal emphysema after laser treatment for incision of abscess.