Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Angiographic embolization for hemorrhage control after dental implantation

  • Hwang, Hee-Don (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Kim, Jin-Wook (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Kim, Yong-Sun (Department of Diagnostic Radiology, School of Medicine, Kyungpook National University) ;
  • Kang, Dong-Hun (Department of Diagnostic Radiology, School of Medicine, Kyungpook National University) ;
  • Kwon, Tae-Geon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
  • Received : 2012.03.29
  • Accepted : 2012.05.25
  • Published : 2013.02.28
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Abstract

Dental implantation in the mandibular anterior region is considered a safe and reliable surgical procedure. On the other hand, several articles have reported that inadvertent hemorrhage of the sublingual artery can result in life-threatening airway obstruction. Surgical ligation under intubation or tracheostomy is the most widely used approach for controlling mouth floor bleeding in this highly vascular region. Nonetheless, surgically exploring the bleeding focus is difficult because of anatomical distortion followed by widespread edema and swelling. Since swelling of the mouth floor advances quickly, timely management is essential for favorable postoperative outcome. This paper reports a case of immediate hemorrhage control with angiographic embolization to perform rapid hemostasis before the ongoing swelling causes airway obstruction. Less invasive, angiographic embolization can prevent neurovascular damage during a surgical exploration of injured vascular structures on the mouth floor.

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References

  1. Darriba MA, Mendonca-Caridad JJ. Profuse bleeding and life-threatening airway obstruction after placement of mandibular dental implants. J Oral Maxillofac Surg 1997;55:1328-30. https://doi.org/10.1016/S0278-2391(97)90195-6
  2. Kalpidis CD, Konstantinidis AB. Critical hemorrhage in the floor of the mouth during implant placement in the first mandibular premolar position: a case report. Implant Dent 2005;14:117-24. https://doi.org/10.1097/01.id.0000165028.89434.99
  3. Dubois L, de Lange J, Baas E, Van Ingen J. Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases. Int J Oral Maxillofac Surg 2010;39:412-5. https://doi.org/10.1016/j.ijom.2009.07.062
  4. Loukas M, Kinsella CR Jr, Kapos T, Tubbs RS, Ramachandra S. Anatomical variation in arterial supply of the mandible with special regard to implant placement. Int J Oral Maxillofac Surg 2008;37: 367-71. https://doi.org/10.1016/j.ijom.2007.11.007
  5. Bavitz JB, Harn SD, Homze EJ. Arterial supply to the floor of the mouth and lingual gingiva. Oral Surg Oral Med Oral Pathol 1994; 77:232-5. https://doi.org/10.1016/0030-4220(94)90290-9
  6. Goldstein BH. Acute dissecting hematoma: a complication of oral and maxillofacial surgery. J Oral Surg 1981;39:40-3.
  7. Woo BM, Al-Bustani S, Ueeck BA. Floor of mouth haemorrhage and life-threatening airway obstruction during immediate implant placement in the anterior mandible. Int J Oral Maxillofac Surg 2006;35:961-4. https://doi.org/10.1016/j.ijom.2006.03.020
  8. Niamtu J 3rd. Near-fatal airway obstruction after routine implant placement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:597-600. https://doi.org/10.1067/moe.2001.116503
  9. Bynoe RP, Kerwin AJ, Parker HH 3rd, Nottingham JM, Bell RM, Yost MJ, et al. Maxillofacial injuries and life-threatening hemorrhage: treatment with transcatheter arterial embolization. J Trauma 2003;55:74-9. https://doi.org/10.1097/01.TA.0000026494.22774.A0

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  2. Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible vol.2015, pp.None, 2013, https://doi.org/10.1155/2015/839098
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