Angiographic embolization for hemorrhage control after dental implantation.
10.5125/jkaoms.2013.39.1.27
- Author:
Hee Don HWANG
1
;
Jin Wook KIM
;
Yong Sun KIM
;
Dong Hun KANG
;
Tae Geon KWON
Author Information
1. Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, Daegu, Korea. kwondk@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Angiography;
Embolization;
Sublingual artery;
Implant;
Hemorrhage
- MeSH:
Airway Obstruction;
Angiography;
Arteries;
Dental Implantation;
Dental Implants;
Edema;
Hand;
Hemorrhage;
Hemostasis;
Intubation;
Ligation;
Mouth Floor;
Tracheostomy
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2013;39(1):27-30
- CountryRepublic of Korea
- Language:English
-
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.
