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Extensive subcutaneous emphysema and pneumomediastinum on the dental chair
  1. Mahdi Malekpour
  1. Geisinger Medical Center, Danville, Pennsylvania, USA
  1. Correspondence to Dr Mahdi Malekpour, Department of General Surgery, Geisinger Medical Center, Danville, Pennsylvania, USA; mmalekpourghorbani{at}

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Clinical Introduction

A 32-year-old woman was seen at the dentist’s office for pain associated with a broken molar tooth for over 6 months. During the use of a high-speed air-turbine drill, she suddenly developed severe neck pain and swelling. Procedure continued, which led to progression of her symptoms, including shortness of breath, for which the patient was sent to the emergency department. She was found to be afebrile, with stable vital signs and saturation of 100% on room air. …

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  • Contributors MM was involved in the care of patient, acquired consent, and wrote the draft and final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.