Life-threatening airway obstruction after flapless implant placement in the anterior mandible
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
This paper reports a patient who had an airway obstruction caused by a hemorrhage of the mouth floor that occurred after she underwent flapless implantation in the region of the mandibular anterior teeth. The hemorrhage may have been caused by iatrogenic malpositioned fixture and patient’s hypertension. The lingual periosteum was not dissected during the flapless procedure. Therefore, when hemorrhage occurred, the blood did not drain easily into the oral cavity but instead drained into the deep neck region, which might have been the cause of the airway obstruction.
Abstract
This paper reports a patient who had an airway obstruction caused by a hemorrhage of the mouth floor that occurred after she underwent flapless implantation in the region of the mandibular anterior teeth. The hemorrhage may have been caused by iatrogenic malpositioned fixture and patient’s hypertension. The lingual periosteum was not dissected during the flapless procedure. Therefore, when hemorrhage occurred, the blood did not drain easily into the oral cavity but instead drained into the deep neck region, which might have been the cause of the airway obstruction.
참고문헌 (17)
- Lamas Pelayo J, "Intraoperative complications during oral implantology", Med Oral Patol Oral Cir Bucal, 13, pp.239~243 (2008)
- Brodala N, "Flapless surgery and its effect on dental implant outcomes", Int J Oral Maxillofac Implants, 24(Suppl), pp.118~125 (2009)
- Bavitz JB, "Arterial supply to the floor of the mouth and lingual gingiva", Oral Surg Oral Med Oral Pathol, 77, pp.232~235 (1994)
- Hofschneider U, "Assessment of the blood supply to the mental region for reduction of bleeding complications during implant surgery in the interforaminal region", J Oral Maxillofac Implants, 14, pp.379~383 (1999)
- Woo BM, "Floor of mouth haemorrhage and life-threatening airway obstruction during immediate implant placement in the anterior mandible", Int J Oral Maxillofac Surg, 35, pp.961~964 (2006)
- Becker W, "Minimally invasive flapless implant surgery: a prospective multicenter study", Clin Implant Dent Relat Res, 7(Suppl 1), pp.21~27 (2005)
- Sclar AG, "Guidelines for flapless surgery", J Oral Maxillofac Surg, 65(7 Suppl 1), pp.20~32 (2007)
- Warrer K, "Plaque-induced periimplantitis in the presence or absence of keratinized mucosa. An experimental study in monkeys", Clin Oral Implants Res, 6, pp.131~138 (1995)
- Oh TJ, "Effect of flapless implant surgery on soft tissue profile: a randomized controlled clinical trial", J Periodontol, 77, pp.874~882 (2006)
- Krenkel C, "Hematoma of the mouth floor following oral surgery and its anatomical characteristics", Dtsch Z Mund Kiefer Gesichtschir, 9, pp.448~451 (1985)
- ten Bruggenkate CM, "Hemorrhage of the floor of the mouth resulting from lingual perforation during implant placement: a clinical report", Int J Oral Maxillofac Implants, 8, pp.329~334 (1993)
- Boyes-Varley JG, "Haematoma of the floor of the mouth following implant placement", SADJ, 57, pp.64~65 (2002)
- Darriba MA, "Profuse bleeding and lifethreatening airway obstruction after placement of mandibular dental implants", J Oral Maxillofac Surg, 55, pp.1328~1330 (1997)
- Zimmerman RA, "The diagnostic and therapeutic role of angiography in lingual arterial bleeding", Radiology, 133, pp.639~643 (1979)
- Wittwer G, "Computer-guided flapless transmucosal implant placement in the mandible: a new combination of two innovative techniques", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 101, pp.718~723 (2006)
- Ewers R, "Basic research and 12 years of clinical experience in computer-assisted navigation technology: a review", Int J Oral Maxillofac Surg, 34, pp.1~8 (2005)
- Wittwer G, "Navigated flapless transmucosal implant placement in the mandible: a pilot study in 20 patients", Int J Oral Maxillofac Implants, 22, pp.801~807 (2007)