下顎智歯抜歯時に生じた広範な皮下気腫・縦隔気腫の1例 : CTにおける気腫の変化 A case of widespread subcutaneous and mediastinal emphysema following extraction of a mandibular third molar : Changes in emphysema on CT scans

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著者

    • 岩井 俊憲 IWAI Toshinori
    • 横浜市立大学附属市民総合医療センター歯科・口腔外科・矯正歯科 Department of Oral and Maxillofacial Surgery, Yokohama City University Medical Center
    • 大村 進 OMURA Susumu
    • 横浜市立大学附属市民総合医療センター歯科・口腔外科・矯正歯科 Department of Oral and Maxillofacial Surgery, Yokohama City University Medical Center
    • 岡本 喜之 [他] OKAMOTO Yoshiyuki
    • 横浜市立大学附属市民総合医療センター歯科・口腔外科・矯正歯科 Department of Oral and Maxillofacial Surgery, Yokohama City University Medical Center
    • 斎藤 友克 SAITO Tomokatu
    • 横浜市立大学大学院医学研究科顎顔面口腔機能制御学(口腔外科学) Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine
    • 海野 智 UMINO Satoshi
    • 横浜市立大学附属市民総合医療センター歯科・口腔外科・矯正歯科 Department of Oral and Maxillofacial Surgery, Yokohama City University Medical Center
    • 藤田 浄秀 FUJITA Kiyohide
    • 横浜市立大学大学院医学研究科顎顔面口腔機能制御学(口腔外科学) Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine

抄録

Spreading patterns of subcutaneous emphysema and mediastinal emphysema can be detected on computed tomography (CT). As many studies have reported that CT is performed several hoursto several days after the onset of emphysema, CT findings immediately after onset remain unclear. Especially, the time course of emphysema from onset to resolution is poorly understood.<BR>We observed the time course of emphysema by CT, starting immediately after the development of emphysema in the head, neck, and mediastinum. Emphysema was caused by the useof an air turbine handpiece during extraction of a lower impacted third molar. A CT scan obtained immediately after onset showed severe emphysema extending to many head and neck spaces, including the retropharyngeal space to the mediastinum. The next day, emphysema in the parapharygeal space, the retropharyngeal space, and the anterior cervical space rapidlydecreased. After a week, the emphysema had nearly disappeared on the CT scan, except for part of the masticator space.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 52(3), 191-194, 2006-03-20 

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  18件

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被引用文献:  8件

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キーワード

各種コード

  • NII論文ID(NAID)
    10018860258
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    7900033
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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