A strange chest pain after dental surgery
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In May 2007, a 29-year-old man was admitted to our ward complaining of chest pain exacerbated by deep breathing but not by change of position. The chest pain episodes were short-lasting (some minutes), but the patient complained of several relapses. Simultaneously, soft-consistency bilateral swelling of the neck appeared in the submandibular and lateral cervical regions.
Ten hours before admission, the patient had undergone dental surgery for removal of the III right inferior wisdom tooth. The procedure was particularly difficult and lasted for more than 90 min.
The family history was negative for cardiovascular disease; no relevant previous disease was present. He was not on any medical treatment; however, he smoked 15 cigarettes a day, and his alcohol intake was moderate.
Physical examination of the patient showed normal blood pressure (120/80 mmHg) and heart rate (65 beats/min). He was eupnoeic, and oxygen saturation of the blood was 97% (no oxygen supply). Body...
KeywordsSulbactam Subcutaneous Emphysema Eustachian Tube Dysfunction Submandibular Space Jugular Fossa
- 1.Turnbull A (1900) A remarkable coincidence in dental surgery. Br Med J 1:1131Google Scholar
- 17.Rizzardi N, Salvi A, De Ciuceis C, Porteri E, Platto C, Zani F, Farina D, Dognini L, Rizzoni D, Agabiti Rosei E (2007) Pneumomediastino dopo avulsione dentaria: un nesso temporale da non sottovalutare. In: Abstracts del 108° Congresso Nazionale della Società Italiana di Medicina Interna, Roma, 20–23 ottobre 2007—Internal and emergency medicine, vol 2—Supplemento, Ottobre 2007, S181Google Scholar