摘要
下颌第三磨牙拔除术是口腔颌面外科门诊中最常见的操作,其并发症以疼痛、肿胀、局部感染和张口受限最为常见。近年来,随着高速气动涡轮机在拔牙术中的广泛应用,由其导致的皮下气肿时有发生。虽然皮下气肿较为少见,但是严重的医源性皮下气肿有潜在致命性危险。气体可通过切开的黏骨膜,也可通过牙根或者牙周进入面颈部皮下组织,通过组织间隙往上可进入颞肌、颅底间隙,往下可进入胸部、纵膈。本文报道2例拔牙中使用高速气动涡轮机致严重面颈部皮下气肿的病例,并对严重面颈部皮下气肿发生的原因、诊断和预防等进行综述。
Third molar extraction is the most common surgical procedure in oral surgery. The common complications of this procedure include pain, swelling, and infection. Subcutaneous and deep cervical emphysema（SCE） rarely occurs during extraction. However, SCE may occur when high-speed air turbine drills are used during extraction.As a consequence, air is forced into the soft tissue through the reflected flap and invades the tissue space of the facial plane, extending to the mediastinum and cranium. This report presentstwo cases of SCE and their diagnosis and prevention.
出处
《国际口腔医学杂志》
CAS
北大核心
2015年第1期34-36,共3页
International Journal of Stomatology
基金
广东省自然科学基金(S2012010008665)
关键词
高速气动涡轮机
拔牙
头颈部皮下气肿
high-speed air turbine diflls
dental extraction
subcutaneous and deep cervical emphysema
