SynthesisOral and maxillofacial surgery2023
Pronounced mediastinal emphysema after restorative treatment of the lower left molar-a case report and a systematic review of the literature.
Synthesis in Oral and maxillofacial surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 4 citations in OpenAlex.
- Dental Procedure-Related Emphysema: A Scoping Review of Clinical Presentation, Anatomical Distribution, Management, and Outcomes.Dentistry journal · 2026Review
- Subcutaneous emphysema following a minor dental procedure: a case report.Journal of medical case reports · 2026Article
- Voice Change Following Third Molar Alveolectomy: A Rare and Preventable Complication.Dentistry journal · 2026Article
- Subcutaneous Emphysema and Pneumomediastinum Following a Dental Procedure without Tooth Extraction: A Case Report and Literature Review.Internal medicine (Tokyo, Japan) · 2026Review
- A swollen face and neck after dental surgery: Think of subcutaneous emphysema and pneumomediastinum.Respiratory medicine case reports · 2023Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This case report presents an iatrogenic induced mediastinal emphysema after restorative treatment of the lower left second molar, aimed to highlight the potential life-threatening consequences, and providing diagnostics and treatment concepts of complicated dental induced emphysema based on literature review. A 74-year-old female patient was admitted to the emergency department due to a fall on her shoulder. Additional finding was a significant swelling of the face and neck. In the computer tomography of the head, neck, and thorax, a humerus fracture and pronounced soft tissue emphysema from the infraorbital region to the mediastinum was detected. The patient reported that she had been treated by her dentist 4 days earlier. The treatment had to be discontinued after beginning of a pronounced swelling. Other reasons for the emphysema could be excluded out on an interdisciplinary teamwork. The patient was monitored as an inpatient for 5 days and received intravenous antibiotic therapy. This case report shows the rare complication of pronounced mediastinal emphysema after root canal treatment. Emphysema should always be a differential diagnosis of soft tissue swelling and, in case of doubt, a general medical presentation should be made.
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