Sublingual hematoma formation during immediate placement of mandibular endosseous implants
Sublingual hematoma formation during immediate placement of mandibular endosseous implants
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DOI：
10.14219/jada.archive.2004.0148
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发表时间：
2004-02-01
影响因子：
3.9
通讯作者：
Isaacson, TJ
中科院分区：
文献类型：
--
作者：
Isaacson, TJ
我的背景。舌下血肿，在放置下颌骨骨内种植体是一种罕见的，但可能危及生命的并发症。在牙科手术过程中，舌下血肿的发展可能导致需要急性气道管理，包括插管甚至紧急气管切开术。牙科种植体正在成为一种被广泛接受的治疗方法，每年由全科医生和专家放置数千个种植体，几乎没有不良后遗症。临床医生在手术前很少与患者讨论这一并发症，也没有报道继发于舌下血肿形成的死亡。这一事件的发生率难以确定，只报道了几例。案例描述。一位56岁患有严重龋齿的男性接受了多次下颌牙拔除和牙槽成形术，并接受了内种植体。在手术过程中，患者出现了很大的舌下血肿，需要住院治疗。临床意义。在前下颌骨进行种植手术的医生应该通知患者舌下血肿形成的潜在风险，并能够处理可能由这种并发症引起的急性气道问题。
I Background. Sublingual hematoma, during placement of mandibular endosseous dental implants is a rare, but, potentially life-threatening, complication. The development of a sublingual hematoma during a dental procedure may result in the need for acute airway management including intubation or even emergent' tracheostomy. Dental implants are becoming a well-accepted treatment, and thousands of implants are placed every year by general practitioners and specialists, with few adverse sequelae. Clinicians rarely discuss this complication with patients before surgery, and no reports of death secondary to sublingual hematoma formation have been published. The incidence of this event is difficult to ascertain, and only a few cases have been reported.Case Description. A 56-year-old man with severe caries underwent multiple inandibular tooth extractions and alveoloplasty and received endosseous implants. During the surgical procedure, the patient developed a large sublingual hematoma that required hospitalization.Clinical Implications. Practitioners who perform implant surgery in the anterior mandible should notify patients of the potential risk of sublingual hematoma formation, and be able to manage acute airway issues that may result from this complication.