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KMID : 0355620090350060499
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2009 Volume.35 No. 6 p.499 ~ p.501
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HEMORRHAGE OF SUBLINGUAL REGION AND AIRWAY OBSTRUCTION THAT OCCURRED AFTER DENTAL IMPLANT PLACEMENT ON MANDIBLE ANTERIOR EDENTULOUS AREA : CASE REPORT
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Yang Seung-Bin
Jang Chang-Su
Jang Yong-Wook
Lee Eui-Hee
Yim Jin-Hyuk
Kim Jwa-Young
Yang Byoung-Eun
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Abstract
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Because sublingual region is well-vascularized and sublingual artery is passed throughout this region, it should be careful not to perforate lingual cortex when placing dental implant on mandible. A 83-years-old male complained severe sublingual hematoma, hemorrhage and dyspnea came our outpatient department. He had received dental implant placement in the same day. He needed hemostasis and airway control. If soft tissue of sublingual region and the artery are injured, it may result in life-threatening excessive hemorrhage. In dental implant surgery, especially mandible, we should recognize the accurate shape of mandible and anatomy of sublingual region. It is important to stop anticoagulant agent before surgery. When a patient has airway obstruction, the operator should manage airway quickly.
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KEYWORD
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Sublingual hemorrhage, Airway obstruction, Tracheotomy, Dental implant
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