BMC Oral Health (Apr 2025)

Subcutaneous emphysema secondary to autogenous bone grafting: a case report

  • Xidan Zhang,
  • Min Zhou,
  • Xiting Zhu,
  • Ziqi Qin,
  • Huiling Ling,
  • Zhuoli Zhu,
  • Xueqi Gan

DOI
https://doi.org/10.1186/s12903-025-05613-2
Journal volume & issue
Vol. 25, no. 1
pp. 1 – 11

Abstract

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Abstract Background Subcutaneous emphysema, a rare complication after dental procedures, involves localized tissue swelling caused by air trapped within subcutaneous tissues. Its occurrence following autogenous bone grafting is extremely rare, with limited cases reported. Case presentation This article describes delayed subcutaneous emphysema following autogenous bone grafting at both the donor site and the recipient site. The patient presented facial and labial swelling. Symptoms, clinical findings, and postoperative CBCT confirmed subcutaneous emphysema. Conclusions This case report highlights the rare occurrence of subcutaneous emphysema following autogenous bone grafting, with simultaneous involvement of donor and recipient sites. It emphasizes the need for heightened clinical awareness, timely diagnosis, and appropriate preventive measures to reduce the risk of SE in bone augmentation procedures.

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