Post-traumatic Upper Airway Obstruction Secondary to a Lingual Artery Hematoma

Chase, Christopher R.; Hebert, James C.; Farnham, John E.

doi:10.1097/00005373-198708000-00018

Cited by 38 publications

(20 citation statements)

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“…52,57,58,111,[113][114][115][116][117][118][119][120] The literature also indicates that patients with severe maxillofacial injury can have airway obstruction and frequently need emergency tracheal intubation. [121][122][123][124][125][126][127][128] Other patients with severe cognitive impairment commonly have airway obstruction (26 -45%) and associated hypoxemia (15-55%). 8,12,129,130 These patients with severe cognitive impairment typically undergo emergency tracheal intubation.…”

Section: Introductionmentioning

confidence: 99%

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Dunham

Barraco

Clark

et al. 2003

The Journal of Trauma: Injury, Infection, and Critical Care

146

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Section: Introductionmentioning

confidence: 99%

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Dunham

Barraco

Clark

et al. 2003

The Journal of Trauma: Injury, Infection, and Critical Care

146

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“…3 In addition, severe bleeding because of iatrogenic injuries in the floor of the mouth can happen as a result of misdirected dental burs and disks. 15,16 Dental implantation has been applied generally in clinical dentistry since it was first introduced by Brånemark in 1983. 17 As the implementation of this surgical procedure has expanded, anatomic studies regarding the maxillofacial or mandibulofacial region have been performed steadily so as to reduce the chances of injury to nerves or blood vessels during implantation.…”

Section: Discussionmentioning

confidence: 99%

Topography of the Submental Artery That Should Be Considered in Bleeding During Dentoalveolar Surgery

Kim¹,

Won²,

Choi³

et al. 2012

Journal of Craniofacial Surgery

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The purpose of the present study was to provide precise data regarding the branching pattern of the submental artery, which should be considered in occasions of bleeding during various dentoalveolar surgical procedures of the mandible, such as implant surgeries, tori removal, and iatrogenic injuries. Twenty-six embalmed adult hemifaces from Korean cadavers were used in this study. The vertical distance, horizontal distance, and diameter of the submental artery were measured from the site of the first premolar to the third molar. In cases where there was penetration of the mylohyoid muscle by the main branches of the submental artery, the same items were measured at that point. The vertical distance between the submental artery and the inferior border of the mandible decreased toward the premolar, whereas the horizontal distance from the lingual plate of the mandible increased gradually as it traveled in the anterior direction. The diameter of the artery narrowed slightly toward the premolar. The main branches of the submental artery perforated the mylohyoid muscle in 14 (54%) of the 26 specimens. As a result of this study, the submental artery is located higher from the inferior border and closer to the lingual plate of the mandible in the region of the molar than that of the premolar. Therefore, clinicians should be more careful of bleeding when performing surgery in the molar region compared with the premolar region. Where the mylohyoid muscle is perforated by the main branches of the submental artery, its point of insertion can be observed in diverse locations.

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“…Extensive hemorrhage from the lingual artery may occur following traumatic injury [4][5][6][7]. Hemorrhage into the tongue has been reported after the use of streptokinase, heparin, tissue-type plasminogen activator administration and in hemophilia [6,[8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…In most of the cases managed with observation, rapid deterioration of the airway occurred. According to the clinical situation, orotracheal intubation, nasotracheal intubation, cricothyrotomy or tracheostomy was chosen for airway management [2][3][4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Lingual hematoma threatening airway obstruction in a patient on oral anticoagulation with warfarin

Özpolat¹,

Yılmaz²,

Yücel³

2007

Blood Coagulation &Amp; Fibrinolysis

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Warfarin sodium is a commonly used oral anticoagulant agent. It has been well documented that, when effective anticoagulant therapy is employed in treating thromboembolic disease, hemorrhage is a possible complication that can be spontaneous without a history of trauma. The numerous sites of bleeding are the genitourinary and gastrointestinal tracts, the central nervous system, the nose (epistaxis), the penis (priapism), the retroperitoneum, wounds (surgical or traumatic), and subcutaneous tissues during warfarin therapy, but the hemorrhage rarely causes bleeding compromising a patient's airway. We report a case of a spontaneous lingual hematoma that developed during oral anticoagulation therapy. This life-threatening complication of warfarin therapy and its successful management without surgery indicates that observation, close monitoring and reversal of anticoagulation can be a reasonable management option.

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Post-traumatic Upper Airway Obstruction Secondary to a Lingual Artery Hematoma

Cited by 38 publications

References 0 publications

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Topography of the Submental Artery That Should Be Considered in Bleeding During Dentoalveolar Surgery

Lingual hematoma threatening airway obstruction in a patient on oral anticoagulation with warfarin

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