Third molar extraction is the most common surgical procedure in oral surgery. The common complications of this procedure include pain, swelling, and infection. Subcutaneous and deep cervical emphysema(SCE) rarely occurs during extraction. However, SCE may occur when high-speed air turbine drills are used during extraction.As a consequence, air is forced into the soft tissue through the reflected flap and invades the tissue space of the facial plane, extending to the mediastinum and cranium. This report presentstwo cases of SCE and their diagnosis and prevention.