Angiographic embolization for hemorrhage control after dental implantation
황희돈, 김진욱, 김용선, 강동훈, 권태건,
소속 상세정보
황희돈 ( Hwang Hee-Don ) - Kyungpook National University School of Dentistry Department of Oral and Maxillofacial Surgery
김진욱 ( Kim Jin-Wook ) - Kyungpook National University School of Dentistry Department of Oral and Maxillofacial Surgery
김용선 ( Kim Yong-Sun ) - Kyungpook National University School of Medicine Department of Diagnostic Radiology
강동훈 ( Kang Dong-Hun ) - Kyungpook National University School of Medicine Department of Diagnostic Radiology
권태건 ( Kwon Tae-Geon ) - Kyungpook National University School of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 0355620130390010027
Abstract
Dental implantation in the mandibular anterior region is considered a safe and reliable surgical procedure. On the other hand, several articles have reported that inadvertent hemorrhage of the sublingual artery can result in life-threatening airway obstruction. Surgical ligation under intubation or tracheostomy is the most widely used approach for controlling mouth floor bleeding in this highly vascular region. Nonetheless, surgically exploring the bleeding focus is difficult because of anatomical distortion followed by widespread edema and swelling. Since swelling of the mouth floor advances quickly, timely management is essential for favorable postoperative outcome. This paper reports a case of immediate hemorrhage control with angiographic embolization to perform rapid hemostasis before the ongoing swelling causes airway obstruction. Less invasive, angiographic embolization can prevent neurovascular damage during a surgical exploration of injured vascular structures on the mouth floor.
키워드
Angiography; Embolization; Sublingual artery; Implant; Hemorrhage
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