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Case Reports
. 1990 Apr;120(4):421-2, 424; discussion 423.
doi: 10.14219/jada.archive.1990.0122.

Orbital emphysema causing vision loss after a dental extraction

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Case Reports

Orbital emphysema causing vision loss after a dental extraction

M J Buckley et al. J Am Dent Assoc. 1990 Apr.

Abstract

The use of high-speed air-cooled rotary cutting instruments is common in dental practices. When used near open wounds, the forced air can lead to subcutaneous emphysema and involvement of vital structures. This case highlights the unfortunate episode of orbital emphysema with optic nerve damage after a pneumatically cooled drill was used in the removal of a mandibular second molar.

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