Emergency tracheostomy following life-threatening hemorrhage in the floor of the mouth during immediate implant placement in the mandibular canine region.
BACKGROUND
The edentulous interforaminal mandibular area is frequently the preferred area for implant placement.


METHODS
A case of emergency tracheostomy following life-threatening hemorrhage in the floor of the mouth during immediate implant placement in the mandibular canine region is described. The probable cause was bleeding from the sublingual artery or a branch of that artery following implant perforation of the lingual cortex.


RESULTS
Healing was uneventful and the patient was released from the hospital after 11 days. Three years later, CT showed a well-osseointegrated implant with a severe buccolingual inclination.


CONCLUSIONS
It is stressed that short implants (14 mm or less) should be used in the mandibular canine region and that effective treatment of this complication is essential.
Givol
N
N
Department of Oral & Maxillofacial Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
Chaushu
G
G
Halamish-Shani
T
T
Taicher
S
S
D001158:Arteries / Q000293:injuries; D003481:Cuspid; D003758:Dental Implantation, Endosseous / Q000009:adverse effects*; D015921:Dental Implants / Q000009:adverse effects*; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation / Q000601:surgery; D008334:Mandible / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D009060:Mouth Floor / Q000473:pathology* / Q000601:surgery; D006472:Oral Hemorrhage / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014060:Tongue Diseases / Q000209:etiology / Q000601:surgery; D014139:Tracheostomy; D014945:Wound Healing
D015921:Dental Implants