Subcutaneous emphysema is a rare but serious side effect of dental and oral surgery procedures. The condition is characterized by air being forced underneath the tissue, leading to swelling, crepitus on palpation, and with potential to spread along the fascial planes to the periorbital, mediastinal, pericardial, and/or thoracic spaces. A wide range of causes have been documented for the origin of subcutaneous emphysema during dental treatment including: crown preparations, other operative procedures, endodontic therapy, extractions, as well as oral surgery procedures. The patient was a 58-year-old woman who presented to the Seoul Saint mary’s hospital emergency department with a chief complaint of facial edema, dyspnea and chest discomfort after periodontal treatment using an air-flow equipment in local dental clinic. During treatment in the emergency department, oxygen therapy and intravenous injection of steroid and anti-histamine was done. it was noted that the patient had pain and swelling on left lower molar region, pus discharging on same site. Severe edema was observed on periorbital region to neck with heatness. An audible crepitus sound was heard during palpation on facial area. Neck CT scan and antibiotic therapy was done, as symptom suggesting dental abscess is observed. 3 hours after injection of antibiotics, the patient’s symptom was relieved, but she felt chest discomfort continuously. CT scan with constrast depicted confluent and extensive soft tissue emphysematous changes involving face and deep neck spaces and pneumomediastinum. The patient was refered to thoracic surgery department, oxygen therapy was decided continuously. After 10 hours, patient’s chief complaint was resolved, and discharged. After 1 week, all symptom was disappear and follow-up neck CT scan finding was disappearance of edema and pnuemomediastinum. We report a case of cervical subcutaneous emphysema and pneumomediastinum occurring after periodontal treatment using an air-flow equipment and case on the diagnosis and treatment of subcutaneous emphysema and pneumomediastinum, along with a review of the literature.

가압경수로 원전의 농축폐액건조설비에서 발생된 농축폐액 건조물을 유리화 하는 방안이 연구되어 왔다. 중저준위 방사성폐기물을 유리화할 경우 최종 생성물은 내구성이 우수하고 현저한 부피저감 효과의 장점을 가지고 있다. 붕산농축폐액에 대한 유리화 타당성 연구는 분말시료의 전처리 방법 개발, 유리조성 프로그램을 이용한 유리개발 및 실증시험으로 수행되었다. 분말시료에 대한 전처리 방안으로는 유리화설비에 투입하기 전에 고형성을 갖도록 펠렛화하는 것이다. 농축폐액 성분중 Na와 B의 함량 분포는 유리속에 용융되는 정도와 설비로부터의 폐기물 배출·처리에 영향을 주기 때문에 이를 고려하여 유리조성이 개발되어야 한다. 실증시험에서는 폐기물 투입률, 배기체 특성 및 최종 생성물인 유리고화체의 특성이 검토되었다. 본 연구는 붕산농축폐액에 대한 유리고화체의 물리화학적 특성을 검토하고 유리화 타당성을 확인하는데 목적이 있다.

The objectives of this study were to compare the biochemical profiles with biogroups for the identification of Cronobacter spp. (formally known as Enterobacter sakazakii) isolates using biochemical identification kits. A total of 38 Cronobacter spp. contained 5 clinical, 31 food, and 2 environmental isolates were used. All isolates were identified as Cronobacter spp. with the Vitek II system and ID 32E kit. The API 20E kit identified all isolates as Cronobacter spp. but the percentage identification was 51.1% for 16 of 38 isolates. These strains were contained to Biogroup 2, 9, 10, and 11. The utilization of inositol is a factor determining the percentage identification of Cronobacter spp. with the API 20E kit.