Tracy Lauren F, Gomez Gabriel, Overton Lewis J, McClain Wade G
University of North Carolina, Department of Otolaryngology/Head and Neck Surgery, 101 Manning Drive, Chapel Hill, NC 27599, USA.
University of North Carolina, Department of Pediatric Otolaryngology, 101 Manning Drive, Chapel Hill, NC 27599, USA.
Int J Pediatr Otorhinolaryngol. 2017 Sep;100:223-224. doi: 10.1016/j.ijporl.2017.07.013. Epub 2017 Jul 14.
Lingual and labial frenulectomy are commonly performed as an outpatient procedure, either in an office setting or under general anesthesia. Frenulectomy is generally regarded by both otolaryngologists and dentists as a straightforward and low-risk procedure with limited evidence-based indications and similarly few contraindications. We describe two cases of hypovolemic shock occurring after outpatient frenulectomy requiring emergent interventions of cardiopulmonary resuscitation and blood transfusion. These rare, but life-threatening outcomes warrant recognition as potential complications for the presumed benign labial and lingual frenulectomy. We additionally briefly review indications for upper labial and lingual frenulectomy.
舌系带和唇系带切除术通常作为门诊手术进行，可在诊所环境或全身麻醉下进行。耳鼻喉科医生和牙医一般都认为系带切除术是一种简单且低风险的手术，基于证据的适应证有限，禁忌证同样也很少。我们描述了两例门诊系带切除术后发生低血容量性休克的病例，需要进行心肺复苏和输血等紧急干预措施。这些罕见但危及生命的结果值得被视为假定良性的唇系带和舌系带切除术的潜在并发症。我们还简要回顾了上唇系带和舌系带切除术的适应证。
