颈面部气肿(CE)是一种罕见但可能严重的疾病,可由牙科或外科手术引起。具有前排气的牙科手持件可以在30psi或大于30psi的压力下将空气注入组织中。自1963年以来,在常规牙科手术的医源性CE文献中已有大约100例病例报告。及时的识别和治疗至关重要;然而,许多全科医生可能只熟悉牙科学校课程中的CE。出现一例异常严重的颈面部气肿并伴有纵隔气肿,以及对普通牙医管理原则的讨论和审查。我们希望重新熟悉这种情况将使普通牙医对CE的迹象有所了解和认可,从而成为第一。链接在一个成功的治疗链。
Cervicofacial emphysema (CE) is a rare but potentially serious condition that can arise iatrogenically from dental or surgical procedures. Dental handpieces with fore-exhaust can inject air into tissues at pressures at or greater than 30 psi. Since 1963, there have been approximately 100 case reports in the literature of iatrogenic CE from routine dental procedures. Prompt recognition and treatment are essential; however, many general practitioners may only be familiar with CE from their dental school curriculum. A case of unusually severe cervicofacial emphysema with concomitant pneumomediastinum is presented, along with a discussion and review of management principles for the general dentist. It is our hope that refamiliarization with this condition will give the general dentist an appreciation for and recognition of signs of CE, thereby being the first. link in a chain of successful treatment.