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Una complicación poco frecuente" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "104" "paginaFinal" => "105" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pneumomediastinum and subcutaneous emphysema: A rare complication of dental extraction" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1229 "Ancho" => 1300 "Tamanyo" => 201010 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Enfisema subcutáneo de extensión cérvico-facial disecando incluso planos cervicales profundos (fosa pterigoidea y espacios submandibular, masticador, retrofaríngeo, parafaríngeo y carotídeo izquierdos). B) Neumomediastino por extensión hacia mediastino superior (rodea tráquea, troncos supraaórticos y estructuras adyacentes) y anterior (delante del saco pericárdico y zona de salida de los grandes vasos).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Reyes Mañas Vera, Ramón Lara Rosales, Araceli Sánchez González" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M. Reyes" "apellidos" => "Mañas Vera" ] 1 => array:2 [ "nombre" => "Ramón" "apellidos" => "Lara Rosales" ] 2 => array:2 [ "nombre" => "Araceli" "apellidos" => "Sánchez González" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212915004231" "doi" => "10.1016/j.arbr.2015.12.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915004231?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289614004517?idApp=UINPBA00003Z" "url" => "/03002896/0000005200000002/v1_201601280037/S0300289614004517/v1_201601280037/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212915001470" "issn" => "15792129" "doi" => "10.1016/j.arbr.2015.05.010" "estado" => "S300" "fechaPublicacion" => "2016-02-01" "aid" => "1175" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2016;52:106" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1741 "formatos" => array:3 [ "EPUB" => 118 "HTML" => 1213 "PDF" => 410 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Pneumothorax Related to Lung Cysts and Renal Masses" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "106" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumotórax asociado a quistes pulmonares y masas renales" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1073 "Ancho" => 995 "Tamanyo" => 156989 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronal (A) and sagittal (B) reformatted CT images show numerous bilateral, variably sized, thin-walled cysts (some subpleural) with right pneumothorax, consistent with lymphangioleiomyomatosis. During VATS, subpleural cysts in the lung parenchyma were noted (C).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jorge Luiz Pereira e Silva, Cesar Augusto Araujo Neto, Edson Marchiori" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Jorge Luiz" "apellidos" => "Pereira e Silva" ] 1 => array:2 [ "nombre" => "Cesar Augusto" "apellidos" => "Araujo Neto" ] 2 => array:2 [ "nombre" => "Edson" "apellidos" => "Marchiori" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289615001295" "doi" => "10.1016/j.arbres.2015.02.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615001295?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915001470?idApp=UINPBA00003Z" "url" => "/15792129/0000005200000002/v1_201601300120/S1579212915001470/v1_201601300120/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212915004243" "issn" => "15792129" "doi" => "10.1016/j.arbr.2015.12.002" "estado" => "S300" "fechaPublicacion" => "2016-02-01" "aid" => "1091" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2016;52:103" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1947 "formatos" => array:3 [ "EPUB" => 137 "HTML" => 1351 "PDF" => 459 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "A Case of Bronchial Atresia" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "103" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Caso de atresia bronquial" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 820 "Ancho" => 1197 "Tamanyo" => 116685 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Posterior–anterior chest X-ray. (B and C) Chest computed tomography with intravenous contrast medium, axial slice at the level of the aortopulmonary window in a mediastinum and lung window, respectively. (D) Multidetector CT coronal reconstruction in maximum intensity projection (MIP) mediastinum window. (E and F) Chest magnetic resonance image, axial slices at level of aortopulmonary window. T2 and T1-weighted axial slices with fat suppression.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Lucia Fernandez Rodriguez, Maria Fernandez-Velilla, Isabel Torres Sanchez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Lucia" "apellidos" => "Fernandez Rodriguez" ] 1 => array:2 [ "nombre" => "Maria" "apellidos" => "Fernandez-Velilla" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "Torres Sanchez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289614004578" "doi" => "10.1016/j.arbres.2014.11.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289614004578?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915004243?idApp=UINPBA00003Z" "url" => "/15792129/0000005200000002/v1_201601300120/S1579212915004243/v1_201601300120/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Pneumomediastinum and Subcutaneous Emphysema: A Rare Complication of Dental Extraction" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "104" "paginaFinal" => "105" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María Reyes Mañas Vera, Ramón Lara Rosales, Araceli Sánchez González" "autores" => array:3 [ 0 => array:4 [ "nombre" => "María Reyes" "apellidos" => "Mañas Vera" "email" => array:1 [ 0 => "mrmv80@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ramón" "apellidos" => "Lara Rosales" ] 2 => array:2 [ "nombre" => "Araceli" "apellidos" => "Sánchez González" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Cuidados Intensivos, Hospital Universitario Virgen de las Nieves, Granada, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumomediastino y enfisema subcutáneo secundarios a extraccióndental. Una complicación poco frecuente" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2049 "Ancho" => 2167 "Tamanyo" => 396071 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Subcutaneous emphysema extending to the cervical–facial region, dissecting even in the deepest cervical planes (pterygoid fossa and the submandibular, masticatory, retropharyngeal, parapharyngeal, and left carotid spaces) and (B) pneumomediastinum extending toward the upper (surrounding the trachea, supraaortic trunks, and adjacent structures) and anterior (in front of the pericardium and the outlets of the great vessels).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 22-year-old woman presented in the emergency department with difficulty breathing and swallowing, and pain in the left hemithorax, 2<span class="elsevierStyleHsp" style=""></span>h after two molars were extracted. On physical examination, no changes were seen in the oropharyngeal region, apart from the missing two upper left molars, and no evidence was seen of upper airway compromise. However, crepitation on palpation of the neck and upper chest region were of interest. All vital signs were stable. Computed tomography was performed of the face, cervical spine and chest, revealing pneumomediastinum, involving the upper and anterior mediastinum and subcutaneous emphysema of the neck and face, dissecting even in the deepest cervical planes (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient was treated with metamizole and antibiotic prophylaxis with amoxicillin–clavulanic acid. She was discharged 48<span class="elsevierStyleHsp" style=""></span>h later, and attended a follow-up visit in the thoracic surgery department two weeks later, confirming complete resolution of the process.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The appearance of pneumomediastinum and massive subcutaneous emphysema associated with dental extraction is very rare, and few cases have been documented. It is generally self-limiting and not life-threatening, but on rare occasions it can progress to tension pneumothorax, mediastinitis or gas embolism. Antibiotic prophylaxis is indicated, particularly in the presence of underlying respiratory diseases or dental infections.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">1</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 1 => array:1 [ "titulo" => "Reference" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Vera MRM, Rosales RL, González AS. Neumomediastino y enfisema subcutáneo secundarios a extraccióndental. Una complicación poco frecuente. Arch Bronconeumol. 2016;52:104–105.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2049 "Ancho" => 2167 "Tamanyo" => 396071 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Subcutaneous emphysema extending to the cervical–facial region, dissecting even in the deepest cervical planes (pterygoid fossa and the submandibular, masticatory, retropharyngeal, parapharyngeal, and left carotid spaces) and (B) pneumomediastinum extending toward the upper (surrounding the trachea, supraaortic trunks, and adjacent structures) and anterior (in front of the pericardium and the outlets of the great vessels).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0010" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Occurrence of pneumomediastinum due to dental procedures" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.A. Aslaner" 1 => "G.N. Kasap" 2 => "C. Demir" 3 => "M. Akkaş" 4 => "N.M. Aksu" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Am J Emerg Med" "fecha" => "2014" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005200000002/v1_201601300120/S1579212915004231/v1_201601300120/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005200000002/v1_201601300120/S1579212915004231/v1_201601300120/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915004231?idApp=UINPBA00003Z" ]
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