Haematoma of the floor of the mouth following implant placement.
Placement of implants in the anterior mandibular region is generally regarded as a routine, safe procedure. This case report describes an extensive haematoma in the floor of the mouth, following such a procedure, which rapidly became life-threatening, requiring an emergency tracheostomy to establish a surgical airway. The anatomic, radiographic and surgical aspects to the problem are discussed. Finally, when undertaking such procedures it is advisable to perform them reasonably close to a hospital where such a complication can be effectively and promptly handled by suitably trained persons.
Boyes-Varley
J G
JG
Division of Maxillo-Facial and Oral Surgery, Department of Surgery, University of the Witwatersrand, Johannesburg. boyesvarley@icon.co.za
Lownie
J F
JF
D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy; D003758:Dental Implantation, Endosseous / Q000009:adverse effects*; D019250:Dental Implants, Single-Tooth / Q000009:adverse effects; D006406:Hematoma / Q000150:complications / Q000209:etiology*; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D008334:Mandible / Q000098:blood supply / Q000601:surgery; D008875:Middle Aged; D009060:Mouth Floor / Q000098:blood supply; D006472:Oral Hemorrhage / Q000150:complications / Q000209:etiology*; D019106:Postoperative Hemorrhage / Q000209:etiology