Facial emphysema after sinus lift
Identifieur interne : 001138 ( Main/Merge ); précédent : 001137; suivant : 001139Facial emphysema after sinus lift
Auteurs : Akiko Sakakibara ; Hiroaki Suzuki ; Atsuya Yamashita ; Takumi Hasegawa ; Tsutomu Minamikawa ; Shungo Furudoi ; Takahide KomoriSource :
- Journal of Surgical Case Reports [ 2042-8812 ] ; 2015.
Abstract
An 80-year-old man with a history of
Two hours after the surgery, the patient complained of sudden malar swelling. Marked swelling was present from the left infraorbital region to the buccal region. The swelling was associated with air pockets at the alar base and in the angulus oculi medialis region and subcutaneous malar tissue. Emphysema appeared after the patient blew his nose. Therefore, the mucous membrane of the maxillary sinus might have had a small hole, and air might have entered the subcutaneous tissue via the bone window when the air pressure in the maxillary sinus increased with nose blowing. It is important to advise patients to avoid increasing the intraoral pressure after sinus-lift procedure.
Url:
DOI: 10.1093/jscr/rjv067
PubMed: 26088054
PubMed Central: 4471490
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PMC:4471490Le document en format XML
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<author><name sortKey="Sakakibara, Akiko" sort="Sakakibara, Akiko" uniqKey="Sakakibara A" first="Akiko" last="Sakakibara">Akiko Sakakibara</name>
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<author><name sortKey="Yamashita, Atsuya" sort="Yamashita, Atsuya" uniqKey="Yamashita A" first="Atsuya" last="Yamashita">Atsuya Yamashita</name>
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<front><div type="abstract" xml:lang="en"><p>An 80-year-old man with a history of <italic>en bloc</italic>
resection of squamous cell carcinoma of the hard palate (T4aN0M0) was performed a lateral-window sinus lift of the edentulous area of the left maxillary molar region to facilitate future placement of dental implants.</p>
<p>Two hours after the surgery, the patient complained of sudden malar swelling. Marked swelling was present from the left infraorbital region to the buccal region. The swelling was associated with air pockets at the alar base and in the angulus oculi medialis region and subcutaneous malar tissue. Emphysema appeared after the patient blew his nose. Therefore, the mucous membrane of the maxillary sinus might have had a small hole, and air might have entered the subcutaneous tissue via the bone window when the air pressure in the maxillary sinus increased with nose blowing. It is important to advise patients to avoid increasing the intraoral pressure after sinus-lift procedure.</p>
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