Massive postoperative swelling of the tongue: manual decompression and tactile intubation as a life-saving measure

Piper, Swen N.; Maleck, Wolfgang H.; Kumle, Bernhard; Deschner, E; Boldt, Joachim

doi:10.1016/s0300-9572(99)00153-7

Cited by 8 publications

(4 citation statements)

References 35 publications

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“…It has been confirmed by several studies that injury of the lingual periosteum or the rupture of the sublingual artery during implant placement may induce continuous hemorrhage, and the hemorrhage could form a large hematoma in the floor of mouth without particular resistance. 20,22 In addition, such a hematoma could be indurated at neck palpation. For the spread pattern, the clinical characteristics are similar to the infection pathway, and the spread is rapid, resulting in the obstruction of the upper airway such as Ludwig's angina.…”

Section: Discussionmentioning

confidence: 99%

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Hemorrhage Related to Implant Placement in the Anterior Mandible

Jo¹,

Kim²,

Oh³

2011

Implant Dentistry

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Implant placement in the edentulous anterior mandible is relatively considered a routine and safe procedure. The interforaminal area is the usual area in the mandible for implant placement for the support and retention of a fixed partial denture or removable overdenture. This region is also the usual donor site of bone grafts. However, implant placement, like any other surgical procedure, is not free of risks and complications. The purpose of this review article was to investigate the risk of a life threatening hemorrhage due to arterial injury at implant placement in the anterior mandible.

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Section: Discussionmentioning

confidence: 99%

“…It has been reported that the possibility of such a hemorrhage is increased in patients who have been taking anticoagulants for a long time. 19,20 …”

Section: Causes Of Hemorrhageanatomical Reviewmentioning

confidence: 99%

Hemorrhage Related to Implant Placement in the Anterior Mandible

Jo¹,

Kim²,

Oh³

2011

Implant Dentistry

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“…Dental procedures constitute the majority of iatrogenic sublingual hematomas. Airway obstruction during periodontal surgical procedures can be possibly caused by mandibular dermal graft vestibuloplasties, biopsies of salivary glands or mucosal lesions, and surgical resection of ranulas or lipomas from the floor of the mouth (FOM) 17–22. Oral and maxillofacial procedures, including orthognathic horizontal mandibular osteotomies, have also been reported to cause this life-threatening complication 23.…”

Section: Methodsmentioning

confidence: 99%

“…Airway obstruction during periodontal surgical procedures can be possibly caused by mandibular dermal graft vestibuloplasties, biopsies of salivary glands or mucosal lesions, and surgical resection of ranulas or lipomas from the floor of the mouth (FOM). [17][18][19][20][21][22] Oral and maxillofacial procedures, including orthognathic horizontal mandibular osteotomies, have also been reported to cause this life-threatening complication. 23 However, sublingual hematomas in these procedures primarily occur as intraoperative complications; hence, they can be managed immediately.…”

Section: Etiology Of Sublingual Hematomamentioning

confidence: 99%

Vascular Anatomy for the Prevention of Sublingual Hematomas: Life-Threatening Complication of Genioplasty

Choi¹,

Lee

Yun

et al. 2022

Journal of Craniofacial Surgery

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After genioplasty, the occurrence of bleeding is rare; however, rapid enlargement or displacement of the tongue secondary to lingual or sublingual hematoma can lead to life-threatening airway obstruction, necessitating prompt recognition, and immediate management. Therefore, the investigators aimed to evaluate the underlying etiologies of sublingual hematoma and relevant anatomy to facilitate early recognition of the initial presentation of these hematomas and appropriate management. The authors conducted a literature review on cases of delayed sublingual hematoma after genioplasty. The authors also report a case of delayed hematoma after performing genioplasty. The anatomical structures involved with the development of rare and serious hematomas therein are the sublingual and submental arteries, which are located in the sublingual area, rendering them susceptible to injury during genioplasty. The results of this study suggest that submental artery ligation should be performed for proper management of airway obstruction, if symptoms of sublingual bleeding are observed during the surgical procedure. If there is continuous bleeding despite the submental artery ligation, sublingual artery ligation should be performed.

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Lingual Foramina and Canals

Arx

Lozanoff

2016

Clinical Oral Anatomy

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Massive postoperative swelling of the tongue: manual decompression and tactile intubation as a life-saving measure

Cited by 8 publications

References 35 publications

Hemorrhage Related to Implant Placement in the Anterior Mandible

Hemorrhage Related to Implant Placement in the Anterior Mandible

Vascular Anatomy for the Prevention of Sublingual Hematomas: Life-Threatening Complication of Genioplasty

Lingual Foramina and Canals

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