Home  -  About us  -  Editorial board  -  Search  -  Ahead of print  -  Current issue  -  Archives  -  Instructions  -  Subscribe  -  Contacts  -  Advertise - Login 
Year : 2021  |  Volume : 11  |  Issue : 1  |  Page : 169-172

Life-threatening sublingual hematoma after mandibular implant placement - A case report

Servicio de Cirugía Oral y Maxilofacial. Hospital General de Castellón, Avenida de Benicassim, Castellón, Spain

Correspondence Address:
Dr. F Javier Barrientos-Lezcano
Maxillofacial Service, Hospital General de Castellón, Avenida de Benicassim 128, 12004, Castellón
Login to access the Email id

DOI: 10.4103/ams.ams_365_20

Rights and Permissions

Rationale: Sublingual hematoma is a potentially lethal complication following mandibular implant placement. Due to the scarce cases reported, the management is controversial. In this article, a case is discussed focusing on the different treatment options to establish an orientative guideline. Patient Concerns: A patient with sublingual hematoma following implant surgery was urgently referred. Despite no active bleeding, breathing difficulty due to oropharyngeal obstruction and oxygen saturation decrease were present. Diagnosis: Stable sublingual hematoma with respiratory distress, based on clinical findings and observation. Treatment: Under local anaesthesia, percutaneous tracheostomy without previous intubation was performed for airway preservation. No surgical approach for the hematoma was made. Outcomes: Uneventful recovery with spontaneous resolution of the hematoma in few days. Takeaway Lessons: Anatomic knowledge of this area and proper surgical planning are required to avoid this complication. Regarding management, airway preservation is mandatory. Surgical approach for the bleeding source will depend on hematoma progression.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded65    
    Comments [Add]    

Recommend this journal