Journal of Korean Dental Science

Korean Academy of Dental Science (대한치의학회)
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Acute Airway Obstruction Secondary to Lingual Hematoma after Lower Third Molar Extraction: A Case Report

  • Yi, Sangmin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Oh, Je-Seok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Youn, Gap-Hee (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Chung, Kwang (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Jung, Seunggon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Park, Hong-Ju (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Oh, Hee-Kyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Kook, Min-Suk (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University)
  • Received : 2014.05.08
  • Accepted : 2014.06.07
  • Published : 2014.06.30
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Abstract

Few dental procedures are potentially life-threatening. Note, however, that a dental extraction can result in preventable death. Severe post-extraction bleeding can occur, which may give rise to an alarming situation if there is any delay in detecting and managing the problem. The most immediate danger for a healthy patient with severe post-extraction hemorrhage is airway compromise. Acute airway obstruction from post-extraction hematoma is relatively uncommon, but it may occur with fatal consequences if there is any reluctance to maintain the airway clearance. Therefore, dentists and oral and maxillofacial surgeons should have clear understanding of the problem and measures to control it. Active bleeding that is not controlled by local measures in a dental office should be referred to the nearest hospital emergency department as soon as possible for appropriate management.

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References

  1. Brauer HU. Unusual complications associated with third molar surgery: a systematic review. Quintessence Int. 2009; 40: 565-72.
  2. Kim JC, Choi SS, Wang SJ, Kim SG. Minor complications after mandibular third molar surgery: type, incidence, and possible prevention. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: e4-11. https://doi.org/10.1016/S1079-2104(06)00583-X
  3. Spinnato GG, Alberto PL. Complications of dentoalveolar surgery. In: Fonseca R, editor. Oral and maxillofacial surgery. Vol. 1. Philadelphia: WB Saunders; 2009. p.212.
  4. Falconer DT, Roberts EE. Report of a workshop on the management of patients with third molar teeth. J Oral Maxillofac Surg. 1994; 52: 1102-12. https://doi.org/10.1016/0278-2391(94)90215-1
  5. Moghadam HG, Caminiti MF. Life-threatening hemorrhage after extraction of third molars:case report and management protocol. J Can Dent Assoc. 2002; 68: 670-4.
  6. Kruger GO. Textbook of oral and maxillofacial surgery. 6th ed. St. Louis: Mosby; 1984. p.229.
  7. Kawashima W, Hatake K, Morimura Y, Kudo R, Nakanishi M, Tamaki S, Kasuda S, Yuui K, Ishitani A. Asphyxial death related to postextraction hematoma in an elderly man. Forensic Sci Int. 2013; 228: e47-9. https://doi.org/10.1016/j.forsciint.2013.02.019
  8. Dubois L, de Lange J, Baas E, Van Ingen J. Exce ssive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases. Int J Oral Maxillofac Surg. 2010; 39: 412-5. https://doi.org/10.1016/j.ijom.2009.07.062
  9. Goldstein BH. Acute dissecting hematoma: a complication of oral and maxillofacial surgery. J Oral Surg. 1981; 39: 40-3.
  10. Mantzikos K, Segelnick SL, Schoor R. Hematoma following periodontal surgery with a torus reduction: a case report. J Contemp Dent Pract. 2007; 8: 72-80.