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 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.

scholarly journals Pneumomediastinum Associated with Pneumopericardium and Epidural Pneumatosis

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Ozlem Bilir ◽  
Ozcan Yavasi ◽  
Gokhan Ersunan ◽  
Kamil Kayayurt ◽  
Baris Giakoup
Keyword(s):  
Chest Wall ◽  
Subcutaneous Emphysema ◽  
Specific Treatment ◽  
Pediatric Intensive Care ◽  
Anterior Chest Wall ◽  
Benign Condition ◽  
Spontaneous Pneumomediastinum ◽  
Life Threatening ◽  
Lateral Chest ◽  
Physical Findings

Spontaneous pneumomediastinum is a relatively rare benign condition. It may rarely be associated with one or combination of pneumothorax, epidural pneumatosis, pneumopericardium, or subcutaneous emphysema. We present a unique case with four of the radiological findings in a 9-year-old male child who presented to our emergency department with his parents with complaints of unproductive cough, dyspnea, and swelling on chest wall. Bilateral subcutaneous emphysema was palpated on anterior chest wall from sternum to midaxillary regions. His anteroposterior and lateral chest radiogram revealed subcutaneous emphysema and pneumomediastinum. His thorax computed tomography to rule out life-threatening conditions revealed bilateral subcutaneous, mediastinal, pericardial, and epidural emphysema without pneumothorax. He was transferred to pediatric intensive care unit for close monitorization and conservative treatment. He was followed-up by chest radiographs. He was relieved from symptoms and signs around the fifth day and he was discharged at the seventh day. Diagnosis of pneumomediastinum is often made based on physical findings and plain radiographs. It may not be as catastrophic as it is seen. Close cardiopulmonary monitorization is mandatory for complications and accompanying conditions. Most patients with uncomplicated spontaneous pneumomediastinum respond well to oxygen and conservative management without any specific treatment.

scholarly journals Acute Cardiac Tamponade Secondary to Cardiac Vascular-Type Pleomorphic Leiomyosarcoma: Case Report

2021 ◽  
pp. 1860-1867
Author(s):  
Ricardo Fernández-Ferreira ◽  
Pamela Denisse Soberanis-piña ◽  
Emilio Conde-Flores ◽  
Andrés Mauricio Arroyave-Ramírez ◽  
Ileana Mackinney-Novelo ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Soft Tissue ◽  
Pulmonary Artery ◽  
Cardiac Tamponade ◽  
Clinical Case ◽  
Soft Tissue Sarcomas ◽  
Initial Manifestation ◽  
Vascular Type ◽  
Great Vessels

Soft tissue sarcomas represent <1% of all neoplasms. Leiomyosarcomas comprise only 5–7% of cases, and only 2% of these are vascular. Vascular leiomyosarcomas are extremely rare and represent only 0.001% of all neoplasms, the venous type being up to 5 times more frequent. Arterial leiomyosarcomas most frequently affect the great vessels, being fatal in most cases. In the reported cases of arterial leiomyosarcomas, the most frequently affected site is the pulmonary artery. We present the clinical case of 2 patients (a 42-year-old woman and a 36-year-old man) with a diagnosis of arterial pleomorphic leiomyosarcoma that conditioned cardiac tamponade as the initial manifestation. As it is an exceptionally rare neoplasm and with few cases reported in the literature, it is important to identify and describe this pathology which, due to the impossibility of offering surgical treatment, represents a therapeutic challenge.

scholarly journals Surgical emphysema following shoulder arthroscopy – A case report and review of a less recognized complication

2020 ◽  
Vol 1 ◽  
pp. 230-235
Author(s):  
Raghavan Sivaram ◽  
Saseendar Shanmugasundaram ◽  
Mukhesh Thangavel ◽  
Ehteshamuddin Arshad Mohammed
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Subcutaneous Emphysema ◽  
Surgical Procedure ◽  
Shoulder Arthroscopy ◽  
Tracheal Injury ◽  
Life Threatening ◽  
Surgical Emphysema ◽  
High Degree

Arthroscopy is an established modality of treatment for various conditions of the shoulder attributable to its minimally invasive nature. The possibility of surgical procedure-related complications is usually low. However, there have been sporadic reports of surgical emphysema following shoulder arthroscopy that can range from simple subcutaneous emphysema to life-threatening pneumothorax (PT) and pneumomediastinum (PM). The mechanism of this phenomenon is still elusive. We report the case of a 41-year-old female without pre-existing lung problems who developed extensive subcutaneous emphysema, PT, and PM after shoulder arthroscopy in the absence of an identifiable tracheal injury and masquerading as angioedema. We have extensively reviewed available literature and the mechanisms proposed have been analyzed. Acknowledging the existence of such a complication along with high degree of suspicion will help tackle the problem early and avert unforeseen complications.

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