Massive self-induced subcutaneous cervicofacial, pneumomediastinum, and pneumopericardium emphysema sequelae to a non-displaced maxillary wall fracture. A case report and literature review.
James C. Melville, DDS. FACSEmail the author DDS. FACS James C. Melville
University of Texas Health Science Center at Houston Oral, Head and Neck Oncology and Microvascular Reconstructive Surgery, School of Dentistry, Assistant Professor, OMFS Internship Director, Oral and Maxillofacial Surgery, 7500 Cambridge St, Suite 6446 Houston, TX 77054
Steven S. Balandran, DDS
University of Texas Health Science Center at Houston School of Dentistry, Resident PGY-2, Oral and Maxillofacial Surgery
Caleb P. Blackburn, DDS
University of Texas Health Science Center at Houston School of Dentistry, Resident PGY-1, Oral and Maxillofacial Surgery
Issa A. Hanna, DDS
University of Texas Health Science Center at Houston School of Dentistry, Chief OMFS Service LBJ Hospital, Associate Professor, Oral and Maxillofacial Surgery
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DOI: https://doi.org/10.1016/j.joms.2019.05.010
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Publication History
Published online: May 24, 2019
Accepted: May 8, 2019
Received in revised form: May 8, 2019
Received: March 25, 2019
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Iatrogenic cervicofacial subcutaneous emphysema is a well reported entity in the field of dentistry and oral and maxillofacial surgery especially with the use of air driven handpieces1. Cervicofacial subcutaneous emphysema sequelae after maxillofacial trauma, on the other hand, is less reported and even rarer is the self-induced variant. We report a case of massive cervicofacial subcutaneous emphysema, pneumomediastinum, and pneumopericardium in a healthy 16-year-old male after blunt trauma to the face causing a non-displaced anterior maxillary wall fracture.