Emfysem på hoved-hals og i mediastinum efter brug af airrotor
Sammanfattning
Background - Use of airrotor for dentoalveolar surgery can lead
to subcutaneous emphysema and pneumomediastinum that can
be life threatening.
Case Study - A 29 year old female underwent surgical removal
of a horizontally placed mandibular third molar with the use of
airrotor. The following day the patient was admitted to the hospital with swelling and subcutaneous
crepitation from the temple
region to the clavicular level. A CT-scan revealed cervicofacial
emphysema and free air in the mediastinum. The patient was
discharged in good condition after one week of iv-antibiotic
treatment.
Conclusion - Dentists should not use airrotor for dentoalveolar
surgery. The above case illustrates the serious consequences
this can lead to