Endo-buccal mucosal punch biopsy and cervico-facial benign subcutaneous emphysema

Thibault Casatuto; Gauthier Benat; Sara Laurencin-Dalicieux; Sarah Cousty

doi:10.1051/mbcb/2020027

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Volume 26 / No 3 (2020)

J Oral Med Oral Surg, 26 3 (2020) 33

Abstract

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Issue		J Oral Med Oral Surg Volume 26, Number 3, 2020


Article Number		33
Number of page(s)		3
Section		Cas clinique / Short case report
DOI		https://doi.org/10.1051/mbcb/2020027
Published online		21 July 2020

J Oral Med Oral Surg 2020;26:33

Short Case Report

Endo-buccal mucosal punch biopsy and cervico-facial benign subcutaneous emphysema

Thibault Casatuto¹^,2^*, Gauthier Benat¹^,2^,4, Sara Laurencin-Dalicieux¹^,3^,4 and Sarah Cousty¹^,2^,4

¹ Faculty of Dental Surgery, CHU Toulouse, France
² Department of Oral Surgery, CHU Toulouse, France
³ Department of Periodontology, CHU Toulouse, France
⁴ Faculty of Dentistry, Université Paul Sabatier, Toulouse, France

^* Correspondence: thibault-64260@hotmail.fr

Received: 16 December 2019
Accepted: 18 June 2020

Abstract

Subcutaneous emphysema is a rare feature caused by traumatism (weapons, accidents: crashes, barotrauma, …), dental care and infections. A 48-year-old woman consults for a right oral mucosa lesion and benefits from a biopsy for anatomopathological diagnosis. Within hours of the biopsy, bilateral jugal then cervical swelling has occured without signs of severity. The examination at 48 hours and the CT scan showed a bilateral cervicofacial emphysema with a spontaneous favorable resolution in a few days making the diagnosis of benign subcutaneous emphysema (BSCE). BSE can occurs after an endobuccal biopsy, a close follow up is necessary to rule out gas gangrene.The resolution is spontaneous with the necessity to reassure the patient.

Key words: Biopsy / lichen planus / subcutaneous emphysema

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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