Subcutaneous emphysema related to facial trauma in an adult

Authors

Keywords:

adult, emphysema, subcutaneous emphysema, mediastinal emphysema.

Abstract

The case report of a 45 years white patient is described who was assisted in the emergency department of Dr. Antonio Luaces Iraola University Hospital, Ciego de Ávila province, presenting a facial trauma, due to a fall by a slip and hit  in the face with a swimming pool cement border. A cervicofacial emphysema was found when the physical exam was carried out. Computerized axial tomography was indicated, which showed fracture of the medial and lateral walls of the left maxillary sinus. It was decided to use the conservative technique for air extraction by means of the needles placement. The patient had a favorable clinical course and he didn't have relapses.  

Downloads

Download data is not yet available.

Author Biography

Niorgy Rodríguez Rodríguez, Hospital Provincial Docente Dr. Antonio Luaces Iraola. Ciego de Ávila

Máster en Salud Bucal Comunitaria

Especialista de I y II grado en Cirugía Máxilo Facial

Diplomado en Cirugía Oncológica de Cabeza y Cuello

Profesor Auxiliar

Investigador agregado

References

1. Echenique O, Plazaola Cortázar A, Uriz Monaut JJ, Korta Murua J. Enfisema subcutáneo y neumomediastino tras extracción dental. An pediatr. 2014 [citado 17/12/2019]; 80 (3): 195-6. Disponible en: https://www.analesdepediatria.org/es-enfisema-subcutaneo-neumomediastino-tras-extraccion-articulo-S1695403313003305

2. Castillo Aznar J, Delgado Domingo JA, Tejedor Vargas P, Peña De Buen N, Mateo Orobia AJ, Lafuente Ojeda N. Enfisema subcutáneo masivo en postoperatorio de cirugía torácica. Revisión y tratamiento de la entidad. Rev Mex Anestesiol. 2018 [citado 17/12/2019]; 41 (2): 133-6. Disponible en: https://www.medigraphic.com/pdfs/rma/cma-2018/cma182h.pdf

3. Mejía López C, Campos LA. Enfisema subcutáneo cervicofacial. Encolombia. [s.a] [citado 10/12/2019]: 309-18. Disponible en: https://encolombia.com/medicina-odontologia/odontologia/enfisema-subcutaneo-cervicofacial/

4. Gamboa Vidal CA, Vega Pizarro CA, Arriaga Almeida A. Enfisema subcutáneo durante tratamiento restaurador: caso clínico. Av. Odontoestomatol. 2006 [citado 17/01/2020]; 22 (5): 287-91. Disponible en: https://www.researchgate.net/publication/28156183_Enfisema_subcutaneo_durante_tratamiento_restaurador_caso_clinico

5. Lima A, Carvalho Moreira F, Miranda D, Menezes A, Dias L. Enfisema cérvico-facial e mediastínico iatrogénico: a propósito de dois casos clínicos e revisão da literatura. Acta Otorrinolaringol Gallega. 2018 [citado 17/01/2020]; 11 (1): 54-8. Disponible en: http://www.sgorl.org/revista/images/ACTAONCE/Enfisema_cervico-facial_e_mediast%C3%ADnico_vf.pdf

6. Alonso Rodríguez E, Cebrián Carretero JL, Hernández Godoy J, Burgueño M. Enfisema subcutáneo y neumomediastino secundarios a procedimientos dentales. Rev Mex Cir Bucal Maxilofac. 2018 [citado 17/01/2020]; 14 (1): 4-7. Disponible en: https://www.medigraphic.com/pdfs/cirugiabucal/cb-2018/cb181b.pdf

7. García del Moral RM, Martín López J, Arias Díaz M, Díaz Castellanos MA. Tratamiento del enfisema subcutáneo masivo con drenaje aspirativo. Rev Española Medicina Intensiva. 2016 [citado 25/09/2018]; 40 (4). Disponible en: http://www.medintensiva.org/es/tratamiento-del-enfisema-subcutaneo-masivo/articulo/S0210569115002004/

8. Solanas Álava S, Rodríguez Marco NA, Artigas Martín JM, Fernández Larripa S. Enfisemas orbitarios: hallazgos radiológicos y oftalmológicos. Emergencias. 2017 [citado 25/09/2019]; 29: 122-5. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=5899643&orden=0&info=link

9. Miranda Mota AF, Machado V, Pecas S, Emilio A, Vicente EM. Facial subcutaneous emphysema of late onset after frontal sinus fracture. Einstein (Sao Paulo). 2016 [citado 25/09/2019]; 14 (2): 290. Disponible en: http://www.scielo.br/pdf/eins/v14n2/1679-4508-eins-S1679-45082016AI3532.pdf

10. Johnson CH, Lang SA, Bilal H, Rammohan KS. In patients with extensive subcutaneous emphysema, which technique achieves maximal clinical resolution: infraclavicular incisions, subcutaneous drain insertion or suction on in situ chest drain? Interact Cardiovasc Thorac Surg. 2014 [citado 27/11/2019]; 18 (6): 825-9. Disponible en: https://academic.oup.com/icvts/article/18/6/825/645925

Downloads

Published

2021-08-23

How to Cite

1.
Rodríguez Rodríguez N, Fuentes Padrón Y, Álvarez Crespo JR. Subcutaneous emphysema related to facial trauma in an adult. MEDISAN [Internet]. 2021 Aug. 23 [cited 2025 Jun. 2];25(4):934-42. Available from: https://medisan.sld.cu/index.php/san/article/view/3482

Issue

Vol. 25 No. 4 (2021): JULIO-AGOSTO

Section

Case Reports

License

All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.