yemenjmedYemen Journal of MedicinecoVolume 2 Issue 3MultidisciplinaryEnglishSeptember-DecemberNNY20231219ArticleA case of pneumomediastinum after dental root canal treatmentEnglishY174176ÖzkanKömürcüEnglishNHaticeGüldalEnglishYYasin HaydarYartaşıEnglishYDoğukanGülerEnglishYMustafaBoğanEnglishY10.32677/yjm.v2i3.4195We presented a rare case in which a 27-year-old female patient developed cervicofacial emphysema and pneumomediastinum following dental root canal treatment on her lower right second molar. She presented to the emergency department with facial and neck pain, difficulty in swallowing, and a feeling of tightness and pressure in the chest. Computed tomography revealed free air foci extending from the right mandibular region to the mediastinum. Pneumomediastinum related to dental root canal treatment was considered and the patient was admitted to the thoracic surgery department and oxygen therapy and prophylactic antibiotics were initiated. After 3 days of observation, the emphysema resolved, the symptoms disappeared, and the inflammatory markers remained within normal limits. The patient was discharged in stable condition.EnglishCervicofacial emphysema, Dental root therapy, Pneumomediastinumhttps://yemenjmed.com/admin/abstract?id=81References16191. Molla YD, Abegaz SH, Desita ZT. Spontaneous pneumomediastinum with subcutaneous emphysema in a young healthy female, a case report. Heliyon 2023;9:e18326.2. Deskins SJ, Brunner NE, Brunner M. A case report on subcutaneous emphysema and pneumomediastinum following a routine dental procedure. Cureus 2023;15:e41177.3. Grooteman KV, van den Bergh JE, Tukkie R, et al. Een onschuldige vorm van pneumomediastinum [A harmless form of pneumomediastinum: Avoid unnecessary diagnostics and treatment]. Ned Tijdschr Geneeskd 2023;167:D7309.4. Kouritas VK, Papagiannopoulos K, Lazaridis G, et al. Pneumomediastinum. J Thorac Dis 2015;7:S44-9.5. Afzali N, Malek A, Attar AH. Cervicofacial emphysema and pneumomediastinum following dental extraction: Case report. Iran J Pediatr 2011;21:253-5.6. Yoshimoto A, Mitamura Y, Nakamura H, et al. Acute dyspnea during dentaland;nbsp;extraction. Respiration 2002;69:369-71.7. Rad MV, Chan EK, Ahmed IH. Cervicofacial subcutaneous emphysema and pneumomediastinum secondary to dental treatment in a young man. Respir Med Case Rep 2019;28:100918.8. Turnbull A. A remarkable coincidence in dental surgery. Br Med J 1900;1:1131.9. Jones A, Stagnell S, Renton T, et al. Causes of subcutaneous emphysema following dental procedures: A systematic review of cases 1993-2020. Br Dent J 2021;231:493-500.10. Feinstone T. Infected subcutaneous emphysema: Report of case. J Am Dent Assoc 1971;83:1309-11.11. Josephson GD, Wambach BA, Noordzji JP. Subcutaneous cervicofacial and mediastinal emphysema after dental instrumentation. Otolaryngol Head Neck Surg 2001;124:170-1.12. Frand;uuml;hauf J, Weinke R, Pilger U, et al. Soft tissue cervicofacial emphysema after dental treatment: Report of 2 cases with emphasis on the differential diagnosis of angioedema. Arch Dermatol 2005;141:1437-40.13. Sarfi D, Haitami S, Farouk M, et al. Subcutaneous emphysema during mandibular wisdom tooth extraction: Cases series. Ann Med Surg (Lond) 2021;72:103039.