BACKGROUND Dental extraction is a common operation in oral surgery and is usually accompanied by pain,swelling,and local infection.The application of high-speed air turbines increases the comfort of alveolar surgery a...BACKGROUND Dental extraction is a common operation in oral surgery and is usually accompanied by pain,swelling,and local infection.The application of high-speed air turbines increases the comfort of alveolar surgery and makes it more minimally-invasive.However,high-speed gas can enter the subcutaneous tissue of the face and neck or even the chest and mediastinum,which is a serious iatrogenic complication.CASE SUMMARY We describe two cases of severe subcutaneous and mediastinal emphysema caused by high-speed turbine splitting during dental extraction.The first case involved a 34-year-old man who complained of swelling of the face,mild chest tightness,and chest pain after dental extraction.Computed tomography(CT)scan showed a large amount of gas in the neck,chest wall,and mediastinum.The second case involved a 54-year-old woman who complained of swelling and pain of the neck after dental extraction.CT showed a large amount of gas collected in the neck and mediastinum.Both of them used high-speed turbine splitting during dental extraction.CONCLUSION High-speed turbine splitting during dental extraction may lead to severe subcutaneous and mediastinal emphysema.Dentists should carefully operate to avoid emphysema.If emphysema occurs,CT can be used to improve the diagnosis.The patient should be informed,and the complications dealt with carefully.展开更多
牙科手机作为口腔诊疗中用量最大且频率最高的设备,对其进行全面统筹管理至关重要。该文以浙江大学医学院附属口腔医院为例,从单个牙科手机故障点着手分析,通过统计、对比各个院区牙科手机平均无故障连续使用次数(Mean Time Between Fai...牙科手机作为口腔诊疗中用量最大且频率最高的设备,对其进行全面统筹管理至关重要。该文以浙江大学医学院附属口腔医院为例,从单个牙科手机故障点着手分析,通过统计、对比各个院区牙科手机平均无故障连续使用次数(Mean Time Between Failure,MTBF),发现新开业的华家池总院牙科手机故障率明显异常,进而对牙科手机在医院的使用、流通过程进行了梳理,对其中可能产生问题的环节,协同各部门逐一分析,找到根本原因并采取相应措施。后续通过院区间MTBF对比,各院区牙科手机故障率接近,证明该问题得到解决。展开更多
文摘BACKGROUND Dental extraction is a common operation in oral surgery and is usually accompanied by pain,swelling,and local infection.The application of high-speed air turbines increases the comfort of alveolar surgery and makes it more minimally-invasive.However,high-speed gas can enter the subcutaneous tissue of the face and neck or even the chest and mediastinum,which is a serious iatrogenic complication.CASE SUMMARY We describe two cases of severe subcutaneous and mediastinal emphysema caused by high-speed turbine splitting during dental extraction.The first case involved a 34-year-old man who complained of swelling of the face,mild chest tightness,and chest pain after dental extraction.Computed tomography(CT)scan showed a large amount of gas in the neck,chest wall,and mediastinum.The second case involved a 54-year-old woman who complained of swelling and pain of the neck after dental extraction.CT showed a large amount of gas collected in the neck and mediastinum.Both of them used high-speed turbine splitting during dental extraction.CONCLUSION High-speed turbine splitting during dental extraction may lead to severe subcutaneous and mediastinal emphysema.Dentists should carefully operate to avoid emphysema.If emphysema occurs,CT can be used to improve the diagnosis.The patient should be informed,and the complications dealt with carefully.
文摘牙科手机作为口腔诊疗中用量最大且频率最高的设备,对其进行全面统筹管理至关重要。该文以浙江大学医学院附属口腔医院为例,从单个牙科手机故障点着手分析,通过统计、对比各个院区牙科手机平均无故障连续使用次数(Mean Time Between Failure,MTBF),发现新开业的华家池总院牙科手机故障率明显异常,进而对牙科手机在医院的使用、流通过程进行了梳理,对其中可能产生问题的环节,协同各部门逐一分析,找到根本原因并采取相应措施。后续通过院区间MTBF对比,各院区牙科手机故障率接近,证明该问题得到解决。
