Cervicofacial subcutaneous emphysema

Aims: Subcutaneous emphysema in the maxillofacial area may have different causes. In this study we present cases occurring from traumatic injuries and iatrogenic surgical or dental treatment. Our objective is to describe the etiology, evolution and management of patients with cervicofacial subcutaneous emphysema.

Methods: 12 patients with subcutaneous emphysema of the maxillofacial area were included in this study. The data was registered in tables an graphs describing etiology, clinical and imaging characteristics, treatment and complications.

Results: In 8 patients the cause was blowing after facial trauma, 4 cases were associated to the utilization of turbine in a surgical or dental procedure in the oral region. 3 cases had pneumomediastinum and one had orbital cellulites as complications, all patients treated with the same protocol without other complications.

Conclusion: Subcutaneous emphysema is rare. Usually, it resolves spontaneously and does not cause a life-threatening complication. Prevention and early diagnosis is crucial, to start treatment avoiding the development of secondary infectious and cardiopulmonary complications.

Conflict of interest: None declared.

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Feb 5, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Cervicofacial subcutaneous emphysema
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