A 62-year-old man came to our attention after an operation in a small dental outpatient clinic where only a single dentist was working. The man was showing complications after insertion of a dental implant in the anterior segments of the mandible. Bleeding led to a slow swelling of the neck with airway obstruction. Only an immediate intervention by a mobile emergency unit and prompt tracheal intubation avoided death by asphyxia. The patient was then transferred to our hospital. We inspected the patient and we performed a CT scan that showed complete airway obstruction. First, we performed a tracheotomy in order to ensure the airway patency and then we identified the source of bleeding: the mylohyoid artery placed anomalously close to the mandible. After clamping and tying the artery, the bleeding resolved. One day after the procedure, the tracheotomy was closed; the patient was discharged after 3 days.
How the simplest dental implant procedure can trigger an extremely serious complication / G. Felisati, A.M. Saibene, D. Di Pasquale, R. Borloni. - In: BMJ CASE REPORT. - ISSN 1757-790X. - 2012(2012 Nov 28), pp. 1-3.
|Titolo:||How the simplest dental implant procedure can trigger an extremely serious complication|
FELISATI, GIOVANNI (Primo)
SAIBENE, ALBERTO MARIA (Secondo)
DI PASQUALE, DANIELE (Penultimo)
|Parole Chiave:||adult ; airway obstruction ; artery clamp ; article ; assisted ventilation ; case report ; computer assisted tomography ; hospital discharge ; human ; male ; mouth edema ; mucosal bleeding ; patient transport ; physical examination ; priority journal ; tooth implant ; tooth implantation ; tracheostomy|
|Settore Scientifico Disciplinare:||Settore MED/31 - Otorinolaringoiatria|
|Data di pubblicazione:||28-nov-2012|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1136/bcr-2012-007373|
|Appare nelle tipologie:||01 - Articolo su periodico|
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