Evidence map›Paper›PMID 32811562›Full record

ReviewJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2020

Cervicofacial and mediastinal emphysema following minor dental procedure: a case report and review of the literature.

Adnan Busuladzic, Melissa Patry, Laurent Fradet, Valérie Turgeon, Marie Bussieres

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. A Case Report of Facial Swelling and Crepitus Following a Dental Procedure.Journal of education & teaching in emergency medicine · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Adnan BusuladzicUniversité de Sherbrooke, 580 Bowen Sud, Sherbrooke, QC, J1G 2E8, Canada.
Melissa PatryUniversité de Sherbrooke, 580 Bowen Sud, Sherbrooke, QC, J1G 2E8, Canada.
Laurent FradetUniversité de Sherbrooke, 580 Bowen Sud, Sherbrooke, QC, J1G 2E8, Canada.
Valérie TurgeonClinique Dentaire du Carrefour, 2910, boul. Portland, Sherbrooke, QC, J1L 1R8, Canada.
Marie BussieresUniversité de Sherbrooke, 580 Bowen Sud, Sherbrooke, QC, J1G 2E8, Canada. Marie.bussieres@usherbrooke.ca.ORCID http://orcid.org/0000-0003-4102-1281
Université de Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubcutaneous cervical emphysema is a clinical sign associated with many conditions, including laryngotracheal trauma, pneumothorax and necrotizing deep tissue infections. CASE PRESENTATION: We discuss a case of a 76-year-old man presenting with extensive cervical emphysema a few hours after a minor dental filling procedure. The CT-scan revealed a significant amount of air within the cervical and mediastinal spaces, reaching lobar bronchi. Vitals were within normal values Bloodwork demonstrated an elevation of creatinine kinase (3718; normal < 150) and mild leukocytosis (WBC = 11.6). We decided to proceed to an urgent cervical exploration to exclude necrotizing fasciitis. This revealed air but no tissue necrosis nor abnormal fluid. The patient improved clinically and was discharged two days later with oral antibiotics. Although cervicofacial subcutaneous emphysema following dental procedures has been reported, it is usually less extensive and involving more invasive procedures using air-driven handpieces.

conclusionAs an otolaryngologist confronted with extensive subcutaneous emphysema following a potential entry route for an aggressive infection, given the seriousness of this diagnosis, the decision of whether or not to perform a diagnostic surgical exploration should remain.

Indexed as

AgedDental CareDental InstrumentsDental Restoration, PermanentDiagnosis, DifferentialFasciitis, NecrotizingHumansMaleMediastinal EmphysemaSubcutaneous EmphysemaTomography, X-Ray ComputedDental restorationNecrotizing fasciitisPneumomediastinumSubcutaneous emphysema

Identifiers

PMID32811562
PMCPMC7433085
OpenAlexW3079588637

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.