Cervicofacial Emphysema Secondary to Facebow Injury: A Case Report

2009 ◽  
Vol 33 (4) ◽  
pp. 333-336
Author(s):  
Marco Cicciù ◽  
Giovanni Battista Grossi ◽  
Mario Beretta ◽  
Davide Farronato ◽  
Concetta Scalfaro ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Subcutaneous Emphysema ◽  
Clinical Case ◽  
Dental Procedure ◽  
Life Threatening ◽  
Facial Area ◽  
Orthodontic Device ◽  
Physical Findings

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

The Effect of Implant Abutment Design on Long-Term Soft Tissue Stability: A Clinical Case Report

2018 ◽  
Vol 38 (6) ◽  
pp. 841-847
Author(s):  
Nuria Otero ◽  
Javier Scarton ◽  
Laura Pizzolante ◽  
Stefano Inglese ◽  
Anthony Sclar ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Clinical Case ◽  
Implant Abutment

scholarly journals Subcutaneous and Mediastinal Emphysema Followed by Group A Beta-Hemolytic Streptococci Mediastinitis. A Complicated Course after Adenotonsillectomy: Case Report

Diagnostics ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 11 ◽  
Author(s):  
Anne Duvekot ◽  
Gwen van Heesch ◽  
Laura Veder
Keyword(s):  
Case Report ◽  
Subcutaneous Emphysema ◽  
Health Professionals ◽  
Clinical Course ◽  
Daily Practice ◽  
Rapid Diagnosis ◽  
Adequate Treatment ◽  
Life Threatening ◽  
Group A ◽  
Complicated Course

Tonsillectomy is a commonly performed surgery in the daily practice of an otorhinolaryngologist. For patients as well as health professionals, the best known complication is post-operative bleeding. Among the less noted, but potentially life-threatening, complications are the development of subcutaneous emphysema and the presence of bacteremia due to group A hemolytic streptococci. In this report, we describe a severely complicated clinical course after an uncomplicated adenotonsillectomy in a young boy. Increased awareness of relatively unknown complications after adenotonsillectomy amongst surgeons, pediatricians and anesthesiologists is desirable to facilitate rapid diagnosis and adequate treatment in order to prevent life-threatening situations.

scholarly journals Necrotizing Fasciitis of the Breast: Case Report with Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Basem ALShareef ◽  
Nourah ALSaleh
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Literature Review ◽  
Necrotizing Fasciitis ◽  
Surgical Intervention ◽  
Intravenous Antibiotic ◽  
Treatment Delays ◽  
Simple Mastectomy ◽  
Life Threatening ◽  
Disease Free

Necrotizing fasciitis is a life-threatening aggressive soft tissue infection which usually affects the extremities, abdominal wall, or perineum. Breasts are rarely affected, with most cases presenting after trauma or surgical intervention. It may be misdiagnosed as abscess or cellulitis, leading to treatment delays. Here, we report a case of necrotizing fasciitis affecting both breasts in a 60-year-old female. Treatment included core biopsy managed with intravenous antibiotic and surgical debridement followed by a simple mastectomy. Currently, the patient is disease-free with a completely healed wound.

scholarly journals Necrotizing Fasciitis: a Clinical Case and a Review of the Literature

2020 ◽  
Vol 12 (4) ◽  
pp. 141-146
Author(s):  
Ivanka Danchova Temelkova ◽  
Yordan Stoyanov Milev ◽  
Zhasmina Krasimirova Garkova ◽  
Tsveta Ivanova Kalinova ◽  
Zhenya Krasimirova Dimitrova ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Severe Pain ◽  
Clinical Case ◽  
Subcutaneous Tissue ◽  
Good Prognosis ◽  
Review Of The Literature ◽  
Fatal Course ◽  
Life Threatening

Abstract Necrotizing fasciitis is a soft tissue, life-threatening infection with a fulminant and often fatal course. Early diagnosis is usually delayed as the onset of the disease is often masked in the form of erysipelas or cellulite. The condition is characterized by necrosis of the skin, subcutaneous tissue and underlying fascia. We describe a case of a 42-year-old man with a complaint of erythema, fever and severe pain in his right leg 4 days before hospitalization. The patient was admitted and treated with a diagnosis of erysipelas. A few hours after admission, in connection with a drastic deterioration in the general condition and dermatological status, he was transferred to a purulentseptic ward with a fulminant picture of necrotizing fasciitis. Debridement and fasciotomy were performed successfully and timely. Good prognosis and survival in patients with NF correlate directly with the complex of measures. Appropriate antibiotics and intensive general support avoid massive systemic diffusion. Early and adequate surgical debridement and fasciotomy are associated with improved survival.

scholarly journals A combined two wavelenght laser treatment of prosthesis-related fibrous hyperplasia - Report of a clinical case

2019 ◽  
Vol 1 (1) ◽  
pp. 18-21
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Soft Tissue ◽  
Clinical Case ◽  
Er:Yag Laser ◽  
Soft Tissue Lesion ◽  
Nd:Yag Lasers ◽  
Tissue Healing ◽  
Chronic Trauma ◽  
Oral Soft Tissue

Purposes: Prosthesis-related Fibrous Hyperplasia, also many times referred as epulis fissuratum, is one of the most common benign oral soft tissue lesion, that appears due to chronic trauma, usually caused by a poorly adapted prosthesis. It is more common in the anterior region of the maxilla, being an exophytic lesion, which affects mainly elderly and female patients. Our aim is to present the usefulness of Er:YAG and Nd:YAG lasers in the surgical treatment of an Prosthesis-related Fibrous Hyperplasia (PRFH). Case report: The present paper reports a clinical case of two PRFH located in the maxillary vestibulum mucosa and in the palate in a 56-year-old female, caused by a poorly adapted prosthesis. For excision of the lesions in the vestibule and palate we used Er:YAG Laser (2940nm) and ND:YAG (1064nm), respectively. In the postoperative period, the patient did not report any discommodity, and presented a good tissue healing. Histological examination revealed the presence of Fibrous Hyperplasia. Conclusions: Elimination of PRFH is the treatment of choice with the confection of a new prosthesis. The two lesions were correctly eliminated, with the use of an Er:YAG and Nd:YAG lasers, with excellent recover and without recurrence.

scholarly journals A case report of tardive subcutaneous emphysema in relation to iatrogenic pneumothorax

2019 ◽  
Vol 7 ◽  
pp. 2050313X1987097
Author(s):  
Christine Helene Opedal Ringvold ◽  
Ulla Møller Weinreich
Keyword(s):  
Case Report ◽  
Subcutaneous Emphysema ◽  
Treatment Options ◽  
Chest Drain ◽  
Evidence Based ◽  
International Guidelines ◽  
Drain Removal ◽  
Life Threatening ◽  
Subcutaneous Tissues

Subcutaneous emphysema, the presence of air under the subcutaneous tissues, often arises in relation to pneumothorax, including iatrogenic pneumothorax. It can arise as a consequence of chest drain insertion and removal. This case report describes worsening of subcutaneous emphysema subsequent to chest drain removal, leading to tardive and life-threatening subcutaneous emphysema. There are few international guidelines describing chest drain removal and there are few reports describing tardive subcutaneous emphysema. These areas need further exploration using evidence-based research in order to develop a consensus on treatment options.

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