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因牙种植体移位导致路德维希咽峡炎的成功治疗:一例罕见病例报告

Successful Management of Ludwig's Angina due to Dental Implant Displacement: A Rare Case Report.

作者信息

Cardoso Lincoln Lara, Gasperini Giovanni, Cardoso Leandro Carvalho, Scartezini Guilherme Romano, Campos Annika Ingrid Maria Soderberg, Marão Heloisa Fonseca

机构信息

Department of Oral and Maxillofacial Surgery, Aparecida de Goiânia Hospital, Goiânia, Goiás, Brazil.

Department of Implantology, University of Santo Amaro, São Paulo, São Paulo, Brazil.

出版信息

Case Rep Dent. 2020 Feb 19;2020:6934286. doi: 10.1155/2020/6934286. eCollection 2020.

Abstract

Dental implant surgery is a common procedure in oral and maxillofacial surgery practices. Extensive training, skill, and experience allow this procedure to be performed with an atraumatic approach, but like any surgical technique, it is subject to accidents and complications. This is an unusual clinical case of an accidental displacement of an implant into the submandibular space that progressed to Ludwig's angina, and it has not yet been described in the literature. This case report describes a clinical case of dental implant displaced into the submandibular space after healing cap removal. After seven days, it progressed to Ludwig's angina. The removal was performed through extraoral access in the submandibular area by using hemostatic forceps and radioscopic technique. After implant removal, the clinical case showed a satisfactory repair emphasizing the importance of a meticulous clinical planning to achieve an appropriate treatment plan, which is essential for a favorable prognosis. Therefore, prevention and management of displaced objects requires proper planning and surgical technique.

摘要

牙种植手术是口腔颌面外科常见的手术操作。广泛的培训、技能和经验使得该手术能够以无创方式进行,但与任何外科技术一样,它也可能发生意外和并发症。这是一例罕见的临床病例,种植体意外移位至下颌下间隙并进展为路德维希咽峡炎,目前文献中尚未有相关描述。本病例报告描述了一例愈合帽移除后种植体移位至下颌下间隙的临床病例。七天后,病情进展为路德维希咽峡炎。通过在下颌下区域经口外途径,使用止血钳和放射透视技术进行移除。种植体移除后,该临床病例显示出满意的修复效果,强调了精心的临床规划对于制定合适治疗方案的重要性,这对于良好的预后至关重要。因此,异物的预防和处理需要适当的规划和手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b3/7049839/e2a323508da6/CRID2020-6934286.001.jpg

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