• Am. J. Med. · Nov 1993

    Review Case Reports

    Thoracic complications of dental surgical procedures: hazards of the dental drill.

    • E W Ely, T E Stump, A S Hudspeth, and E F Haponik.
    • Department of Medicine, Bowman Gray School of Medicine, Winston-Salem, North Carolina 27157-1054.
    • Am. J. Med. 1993 Nov 1; 95 (5): 456-65.

    Case ReportsDental surgical procedures occasionally result in intrathoracic complications that may subsequently be encountered by clinicians. We report four patients with such complications, including pneumomediastinum, fatal descending necrotizing mediastinitis, and Lemierre's syndrome. In each of these patients, the commonly used dental handpiece with exhausted air directed to the working drill point was an important, but unrecognized, predisposition to their intrathoracic complication.ConclusionClinicians should be aware of the spectrum of these problems and, in particular, of the potential hazards of pressurized nonsterile air blown into open surgical sites by the dental drill.

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