Rhymes (2) and kleinman (3) cases of subcutaneous

Emphysema neck and mediastinum chief, if not post is usually associated with sinister condition such as

tracheal rupture, bronchial rupture or pneumothorax. After surgery, he certainly should lymph node biopsy or Tracheostomy. Unnoticed in the medical literature, but found in the dental literature is the presence of subcutaneous emphysema

neck after dental procedures with compressed air equipment. These cases are now presented to introduce radiologist >> << to this occurrence. I am a 23-year old white man underwent surgery to remove the influence of third molars of the mandible. After anesthesia of the mandible

unit mucoperiosteal damper was displayed. A small amount of bone was removed from the highs, mochyvsya air turbine. Tooth

was divided, and two roots were removed separately. Bone was a stripped-down, and the wound stitched. The next day

patient returns to hospital for observation. There was minimal postoperative pain, but atypical postoperative swelling >> << stretched from operating down the neck to the upper chest. The tumor was flyuktuiruet, and there was crackling. The patient had fever.

Radiograph of the chest and neck (Fig. 1 and 2) showed subcutaneous emphysema on both sides of the neck of the mandible >> << through supraclavicular region. There was no evidence of mediastinal emphysema. The patient was put on penicillin and after preventive health lasix 200 mg. For five days' absence

symptoms and return to normal. He suggested that when the periosteum was reflected and bone removed from the high speed drill turbine, air

entered the superficial loose tissue and dissected along fascial plains neck received subcutaneous emphysema. II: 27-year old white man was the amalgam restoration of the upper canines of the upper jaw right after anesthesia nerve. After about thirty minutes after the procedure the patient asked his son to blow up a balloon. By doing this >> << right side of his face from the temporal region to the lower jaw was swollen with air. At first it was a little pain through

tumor without medication was necessary, however, and air resolves within two days. No radiographs were obtained. Discussion Shovelton (1) analysis of American and British literature from 1900 to 1957, reported 45 cases of subcutaneous emphysema

after dental surgery. No major complications were observed. Rhymes (2) and Kleinman (3) cases of subcutaneous emphysema during extraction of third molars. Pearson (4) described

peryorbytalnoy emphysema after root canal therapy in the upper jaw incisors. Rickles and Joshi (5) reported subcutaneous emphysema

and air embolism, which likely caused the death of the patient. In this case, the output of air was prevented

because the syringe was wedged into the root canal. .