Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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Subcutaneous emphysema during fracture line inspection: case report

파절선 관찰 도중 발생한 피하기종: 증례보고

  • Kim, Min-Young (Department of Conservative Dentistry, Microscope Center, Yonsei University College of Dentistry) ;
  • Park, Sung-Ho (Department of Conservative Dentistry, Microscope Center, Yonsei University College of Dentistry) ;
  • Shin, Yoo-Seok (Department of Conservative Dentistry, Microscope Center, Yonsei University College of Dentistry) ;
  • Kim, Eui-Seong (Department of Conservative Dentistry, Microscope Center, Yonsei University College of Dentistry)
  • 김민영 (연세대학교 치과대학 치과보존학교실, 현미경센터) ;
  • 박성호 (연세대학교 치과대학 치과보존학교실, 현미경센터) ;
  • 신유석 (연세대학교 치과대학 치과보존학교실, 현미경센터) ;
  • 김의성 (연세대학교 치과대학 치과보존학교실, 현미경센터)
  • Received : 2011.06.30
  • Accepted : 2011.08.29
  • Published : 2011.11.30
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Abstract

The development of subcutaneous emphysema is a well-known complication that has been reported after dental extraction, endodontic treatment, or restorative preparation. Gaseous invasion, leading to swelling, crepitus on palpation, is commonly restricted to the connective tisssues immediately adjacent to the entry site. However, the use of compressed air- and water-cooled turbines may allow large amounts of air and water to be driven through the fascial planes into the mediastinum, pleural space, or even the retroperitoneum. This case report is about the patient who presented with subcutaneous emphysema that occurred after fracture line inspection. Possible cause, treatment, and prevention of emphysema will be discussed.

피하기종은 치과치료 시 나타날 수 있는 합병증의 하나로서, 발치, 근관치료, 수복치료 등과 연관되어 발생할 수 있다. 피하로 유입된 공기는 부종과 염발음을 일으키며 일반적으로는 주변 결합조직에 의해 그 범위가 한정되나 많은 양의 압축공기가 유입될 경우 근막공간을 통해 중격동, 흉막공간, 심지어 후복막에까지 영향을 미칠 수 있어 생명을 위협하는 합병증으로 발생할 수도 있다. 이번 증례는 파절선을 관찰하던 도중에 피하기종이 발생한 환자에 대한 증례로서 그 원인과 관리, 예방법에 관해 고찰해보고자 한다.

Keywords

References

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