Cargando…
Life-Threatening Sublingual Hematoma after Mandibular Implant Placement - A Case Report
RATIONALE: Sublingual hematoma is a potentially lethal complication following mandibular implant placement. Due to the scarce cases reported, the management is controversial. In this article, a case is discussed focusing on the different treatment options to establish an orientative guideline. PATIE...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407642/ https://www.ncbi.nlm.nih.gov/pubmed/34522677 http://dx.doi.org/10.4103/ams.ams_365_20 |
_version_ | 1783746665051586560 |
---|---|
author | Barrientos-Lezcano, F. Javier Corchero-Martín, Guadalupe González-Núñez, Ana Belén Soler-Presas, Francisco |
author_facet | Barrientos-Lezcano, F. Javier Corchero-Martín, Guadalupe González-Núñez, Ana Belén Soler-Presas, Francisco |
author_sort | Barrientos-Lezcano, F. Javier |
collection | PubMed |
description | RATIONALE: Sublingual hematoma is a potentially lethal complication following mandibular implant placement. Due to the scarce cases reported, the management is controversial. In this article, a case is discussed focusing on the different treatment options to establish an orientative guideline. PATIENT CONCERNS: A patient with sublingual hematoma following implant surgery was urgently referred. Despite no active bleeding, breathing difficulty due to oropharyngeal obstruction and oxygen saturation decrease were present. DIAGNOSIS: Stable sublingual hematoma with respiratory distress, based on clinical findings and observation. TREATMENT: Under local anaesthesia, percutaneous tracheostomy without previous intubation was performed for airway preservation. No surgical approach for the hematoma was made. OUTCOMES: Uneventful recovery with spontaneous resolution of the hematoma in few days. TAKEAWAY LESSONS: Anatomic knowledge of this area and proper surgical planning are required to avoid this complication. Regarding management, airway preservation is mandatory. Surgical approach for the bleeding source will depend on hematoma progression. |
format | Online Article Text |
id | pubmed-8407642 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-84076422021-09-13 Life-Threatening Sublingual Hematoma after Mandibular Implant Placement - A Case Report Barrientos-Lezcano, F. Javier Corchero-Martín, Guadalupe González-Núñez, Ana Belén Soler-Presas, Francisco Ann Maxillofac Surg Case Report – Implantology RATIONALE: Sublingual hematoma is a potentially lethal complication following mandibular implant placement. Due to the scarce cases reported, the management is controversial. In this article, a case is discussed focusing on the different treatment options to establish an orientative guideline. PATIENT CONCERNS: A patient with sublingual hematoma following implant surgery was urgently referred. Despite no active bleeding, breathing difficulty due to oropharyngeal obstruction and oxygen saturation decrease were present. DIAGNOSIS: Stable sublingual hematoma with respiratory distress, based on clinical findings and observation. TREATMENT: Under local anaesthesia, percutaneous tracheostomy without previous intubation was performed for airway preservation. No surgical approach for the hematoma was made. OUTCOMES: Uneventful recovery with spontaneous resolution of the hematoma in few days. TAKEAWAY LESSONS: Anatomic knowledge of this area and proper surgical planning are required to avoid this complication. Regarding management, airway preservation is mandatory. Surgical approach for the bleeding source will depend on hematoma progression. Wolters Kluwer - Medknow 2021 2021-03-24 /pmc/articles/PMC8407642/ /pubmed/34522677 http://dx.doi.org/10.4103/ams.ams_365_20 Text en Copyright: © 2021 Annals of Maxillofacial Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report – Implantology Barrientos-Lezcano, F. Javier Corchero-Martín, Guadalupe González-Núñez, Ana Belén Soler-Presas, Francisco Life-Threatening Sublingual Hematoma after Mandibular Implant Placement - A Case Report |
title | Life-Threatening Sublingual Hematoma after Mandibular Implant Placement - A Case Report |
title_full | Life-Threatening Sublingual Hematoma after Mandibular Implant Placement - A Case Report |
title_fullStr | Life-Threatening Sublingual Hematoma after Mandibular Implant Placement - A Case Report |
title_full_unstemmed | Life-Threatening Sublingual Hematoma after Mandibular Implant Placement - A Case Report |
title_short | Life-Threatening Sublingual Hematoma after Mandibular Implant Placement - A Case Report |
title_sort | life-threatening sublingual hematoma after mandibular implant placement - a case report |
topic | Case Report – Implantology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407642/ https://www.ncbi.nlm.nih.gov/pubmed/34522677 http://dx.doi.org/10.4103/ams.ams_365_20 |
work_keys_str_mv | AT barrientoslezcanofjavier lifethreateningsublingualhematomaaftermandibularimplantplacementacasereport AT corcheromartinguadalupe lifethreateningsublingualhematomaaftermandibularimplantplacementacasereport AT gonzaleznunezanabelen lifethreateningsublingualhematomaaftermandibularimplantplacementacasereport AT solerpresasfrancisco lifethreateningsublingualhematomaaftermandibularimplantplacementacasereport |