Peñarrocha-Diago María, Balaguer-Martí José Carlos, Peñarrocha-Oltra David, Bagán José, Peñarrocha-Diago Miguel, Flanagan Dennis
Department of Stomatology, University of Valencia, Valencia, Spain.
Department of Dental Medicine, Lugano University of Switzerland, Lugano, Switzerland.
Clin Cosmet Investig Dent. 2019 Aug 7;11:235-242. doi: 10.2147/CCIDE.S207120. eCollection 2019.
Complications in dental implant surgery are possible. Bleeding complications have been described that may be serious, particularly in the floor of the mouth. We present two cases of sublingual hematomas during dental implant osteotomies that impeded but did not close the airway. The clinical courses of these patient's complications are reviewed. One patient had immediate hematoma formation while the other developed a hematoma overnight, presenting the next day. The treatment rendered was a precautionary in-hospital tracheotomy for the first patient and only compression control for the second. Bleeding complications during dental implant placement in the anterior mandible can be serious issues. There is a potential for sublingual hematoma that could compromise the airway by pressing the tongue against the soft palate into the pharynx. In-hospital treatment may be necessary to prevent an adverse outcome. It must be noted that a hematoma in the submandibular space is life threatening by direct airway compression.
牙种植手术中可能会出现并发症。已经描述过出血并发症，其可能很严重，尤其是在口腔底部。我们呈现两例牙种植截骨术期间发生的舌下血肿病例，血肿阻碍了气道但未完全阻塞气道。回顾了这些患者并发症的临床过程。一名患者立即形成血肿，另一名患者在夜间形成血肿，次日就诊。对第一名患者进行了预防性的院内气管切开术，对第二名患者仅进行了压迫控制。下颌前部牙种植植入过程中的出血并发症可能是严重问题。存在舌下血肿的可能性，它可能通过将舌头压向软腭进入咽部而危及气道。可能需要进行院内治疗以防止不良后果。必须注意的是，下颌下间隙的血肿可通过直接压迫气道而危及生命。
