{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T20:37:53Z","timestamp":1789677473883,"version":"4.0.1"},"reference-count":44,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Subcutaneous cervical emphysema is a clinical sign associated with many conditions, including laryngotracheal trauma, pneumothorax and necrotizing deep tissue infections. <\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p> We discuss a case of a 76-year-old man presenting with extensive cervical emphysema a few hours after a minor dental filling procedure. The CT-scan revealed a significant amount of air within the cervical and mediastinal spaces, reaching lobar bronchi. Vitals were within normal values Bloodwork demonstrated an elevation of creatinine kinase (3718; normal &lt;\u2009150) and mild leukocytosis (WBC\u2009=\u200911.6). We decided to proceed to an urgent cervical exploration to exclude necrotizing fasciitis. This revealed air but no tissue necrosis nor abnormal fluid. The patient improved clinically and was discharged two days later with oral antibiotics. Although cervicofacial subcutaneous emphysema following dental procedures has been reported, it is usually less extensive and involving more invasive procedures using air-driven handpieces. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> As an otolaryngologist confronted with extensive subcutaneous emphysema following a potential entry route for an aggressive infection, given the seriousness of this diagnosis, the decision of whether or not to perform a diagnostic surgical exploration should remain. <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-020-00455-0","type":"journal-article","created":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T11:02:57Z","timestamp":1597748577000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Cervicofacial and mediastinal emphysema following minor dental procedure: A case report and review of the literature"],"prefix":"10.1177","volume":"49","author":[{"given":"Adnan","family":"Busuladzic","sequence":"first","affiliation":[{"name":"Universit\u00e9 de Sherbrooke, 580 Bowen Sud, J1G 2E8, Sherbrooke, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Patry","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Sherbrooke, 580 Bowen Sud, J1G 2E8, Sherbrooke, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Fradet","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Sherbrooke, 580 Bowen Sud, J1G 2E8, Sherbrooke, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Val\u00e9rie","family":"Turgeon","sequence":"additional","affiliation":[{"name":"Clinique Dentaire du Carrefour, 2910, boul. Portland, J1L 1R8, Sherbrooke, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4102-1281","authenticated-orcid":false,"given":"Marie","family":"Bussieres","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Sherbrooke, 580 Bowen Sud, J1G 2E8, Sherbrooke, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,1,1]]},"reference":[{"key":"bibr1-s40463-020-00455-0","unstructured":"Mather AJ. Cervicofacial and Mediastinal Emphysema Complicating a Dental Procedure. J Can Dent Assoc. 2006;72(6)565\u20138."},{"key":"bibr2-s40463-020-00455-0","unstructured":"Heyman SN, Babayofk I. Emphysematous complications in dentistry, 1960\u20131993: An illustrative case and review of the literature. Quintessence Int. 1995;26:535\u201343."},{"key":"bibr3-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2008.12.050"},{"key":"bibr4-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2008.12.019"},{"key":"bibr5-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.4076\/1757-1626-2-8108"},{"key":"bibr6-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2009.079749"},{"key":"bibr7-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2009.09.013"},{"key":"bibr8-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1007\/s12245-010-0189-5"},{"key":"bibr9-s40463-020-00455-0","unstructured":"Afzali N, Malek A, Attar AHH. Cervicofacial Emphysema and Pneumomediastinum Following Dental Extraction: Case Report. Iran J Pediatr. 2011;21(2):253\u20135."},{"key":"bibr10-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcq085"},{"key":"bibr11-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31825aef02"},{"key":"bibr12-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2012.01.006"},{"key":"bibr13-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12124"},{"key":"bibr14-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2013.05.013"},{"issue":"1","key":"bibr15-s40463-020-00455-0","volume":"2013","author":"Khandelwal V","year":"2013","journal-title":"Case Rep"},{"key":"bibr16-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2011.10.037"},{"key":"bibr17-s40463-020-00455-0","unstructured":"Olate S, Assis A, Freire S, de Moraes M, de Albergaria-Barbosa JR. Facial and cervical emphysema after oral surgery: a rare case. Int J Clin Exp Med. 2013;6(9):840\u20134."},{"key":"bibr18-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2013.09.042"},{"key":"bibr19-s40463-020-00455-0","doi-asserted-by":"crossref","unstructured":"Fleischman D, Davis RM, Lee LB. Subcutaneous and Periorbital Emphysema Following Dental Procedure. Ophthal Plast Reconstr Surg. 2014;30(2):e43\u20135.","DOI":"10.1097\/IOP.0b013e318295f982"},{"key":"bibr20-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.revsto.2013.11.001"},{"key":"bibr21-s40463-020-00455-0","doi-asserted-by":"crossref","unstructured":"Paik YS, Lollar KW, Chang CWD. Iatrogenic subcutaneous emphysema after dental treatment. Ear Nose Throat J. 2014;93(2):E14\u20136.","DOI":"10.1177\/014556131409300821"},{"key":"bibr22-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.109"},{"key":"bibr23-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2015.07.030"},{"key":"bibr24-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/4769180"},{"key":"bibr25-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12537"},{"key":"bibr26-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.5125\/jkaoms.2017.43.1.49"},{"key":"bibr27-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.199526"},{"key":"bibr28-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12464"},{"key":"bibr29-s40463-020-00455-0","doi-asserted-by":"crossref","unstructured":"Thompson C, Gohil R. Pneumatic dental extractions: an unusual cause of extensive cervical surgical emphysema. BMJ Case Rep. 2017;bcr-2016-218677.","DOI":"10.1136\/bcr-2016-218677"},{"key":"bibr30-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12657"},{"key":"bibr31-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.5125\/jkaoms.2018.44.5.212"},{"key":"bibr32-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1186\/s40902-018-0151-7"},{"key":"bibr33-s40463-020-00455-0","doi-asserted-by":"crossref","unstructured":"Liu C-C, Lin M-Y. Diffuse soft tissue emphysema after dental procedure. CJEM. 20(S2):S38\u201339.","DOI":"10.1017\/cem.2017.348"},{"key":"bibr34-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2018.04.023"},{"key":"bibr35-s40463-020-00455-0","doi-asserted-by":"crossref","unstructured":"Tenore G, Palaia G, Ciolfi C, Mohsen M, Battisti A, Romeo U. Subcutaneous emphysema during root canal therapy: endodontic accident by sodium hypoclorite. Ann Stomatol (Roma). 2017;7(3):117\u201322.","DOI":"10.11138\/ads\/2017.8.3.117"},{"key":"bibr36-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.17219\/dmp\/108615"},{"key":"bibr37-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2019.0212a"},{"key":"bibr38-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.2141"},{"key":"bibr39-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.29271\/jcpsp.2019.02.191"},{"key":"bibr40-s40463-020-00455-0","first-page":"100918","volume":"28","author":"Rad MV","year":"2019","journal-title":"Respir Med Case Rep"},{"key":"bibr41-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.5593"},{"key":"bibr42-s40463-020-00455-0","first-page":"1","volume":"2017","author":"Bocchialini G","year":"2017","journal-title":"Case Rep Dent"},{"key":"bibr43-s40463-020-00455-0","doi-asserted-by":"crossref","unstructured":"Ali A, Cunliffe DR, Watt-Smith SR. Surgical emphysema and pneumomediastinum complicating dental extraction. Br Dent J. 2000;188(11):589\u201390.","DOI":"10.1038\/sj.bdj.4800547"},{"key":"bibr44-s40463-020-00455-0","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.4.5779.86"}],"container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1186\/s40463-020-00455-0","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40463-020-00455-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1186\/s40463-020-00455-0","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40463-020-00455-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1186\/s40463-020-00455-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T08:11:10Z","timestamp":1741680670000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1186\/s40463-020-00455-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":44,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1186\/s40463-020-00455-0"],"URL":"https:\/\/doi.org\/10.1186\/s40463-020-00455-0","relation":{},"ISSN":["1916-0216","1916-0216"],"issn-type":[{"value":"1916-0216","type":"print"},{"value":"1916-0216","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"61"}}