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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2019, Number 5

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Rev Mex Oftalmol 2019; 93 (5)

Periorbital emphysema following dental procedure: A case report and literature review

Rodríguez-Calzadilla M, García-Vázquez M, Contreras-Espuny M, Soto-Guerrero A, Rodríguez-Suárez AH, Benítez-del-Castillo-Sánchez FJ, García-Íñiguez M
Full text How to cite this article

Language: Spanish
References: 10
Page: 254-257
PDF size: 139.94 Kb.


Key words:

Subcutaneous emphysema, Periorbital emphysema, Orbital emphysema, Endodontics, Endodontics complication, Dentistry complication.

ABSTRACT

Clinical Case: The case concerns a 57-year-old woman who came to the Ophthalmology Emergency Service referred by her dentist after presenting a left periorbital swelling during a root canal treatment. A complete examination only revealed a soft, smooth periorbital tumefaction, crackling on palpation, with no associated inflammation. No radiological exams were performed. Discussion: Subcutaneous emphysema has been described as a rare complication in the usual dental practice. Periorbital involvement is exceptional and usually has a good prognosis. In this paper we describe a new case, reviewing the literature on the subject, analyzing the pathophysiology of the process and the changes in its epidemiology. Furthermore, recommendations for their management are established.


REFERENCES

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  2. Mishra L, Patnaik S, Patro S, et al. Iatrogenic subcutaneous emphysema of endodontic origin - case report with literature review. J Clin Diagn Res. 2014;8:279-81.

  3. Shoveton DS. Surgical emphysema complications of dental operations. Brt Dental J. 1957;102:25.

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  5. Haitz KA, Patel AJ, Baughman RD. Periorbital subcutaneous emphysema mistaken for unilateral angioedema during dental crown preparation. JAMA Dermatol. 2014;150:907-9.

  6. An GK, Zats B, Kunin M. Orbital, mediastinal, and cervicofacial subcutaneous emphysema after endodontic retreatment of a mandibular premolar: A case report. J Endod. 2014;40:880-3.

  7. Fleischman D, Davis RM, Lee LB. Subcutaneous and periorbital emphysema following dental procedure. Ophthal Plast Reconstr Surg. 2014;30:43-5.

  8. Al-Qudah A, Amin F, Hassona Y. Periorbital emphysema during endodontic retreatment of an upper central incisor: A case report. Br Dent J. 2013;215:459-61.

  9. Khandelwal V, Agrawal P, Agrawal D, Nayak PA. Subcutaneous emphysema of periorbital region after stainless steel crown preparation in a young child. BMJ Case Rep. 2013, http://dx.doi.org/10.1136/bcr-2013-009952

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Rev Mex Oftalmol. 2019;93