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Stomatologija 2021; 23 (2): 51-5 209 KB

Iatrogenic penetration of the mouth floor during mandibular molar extraction: A case of protracted bleeding in an emergency department and clinico-anatomical considerations

Ioannis Papadiochos¹, Sofia Papadiochou², Andreas-Rafail Jajimos³

Summary

Iatrogenic perforation of the lingual cortical plate of the mandible is uncommon but it may result in injuries to various adjacent structures such as the lingual nerve, sublingual gland, submandibular duct, deep lobe of the submandibular gland, and branches of rich anastomosing plexus supplying the floor of the mouth (FOM). The aim of this article was to highlight an unusual case of protracted postoperative bleeding that was occurred due to a FOM injury during an attempt to extract a mandibular second molar. Various anatomical considerations with clinical relevance were summarized too. Even small and superficial injuries of FOM should be not misjudged but be carefully monitored, since there is a potential risk for significant haemorrhage and hematoma formation leading to airway obstruction.

Key words: of mouth, extraction, sublingual hematoma, haemorrhage, mandibular molar.

Received: 18 06 2018

Accepted for publishing: 28 06 2021

¹“Attikon” University General Hospital of Athens, Haidari, Attiki, Greece

²Healthcare Center of Spata, Dental Department, Spata, Attiki, Greece

³“Evangelismos General Hospital of Athens, Dental Department, Athens, Attiki, Greece

Address correspondence to Ioannis Papadiochos, “Attikon” University General Hospital of Athens, Rimini 1, 124 62, Chaidari, Attiki, Greece.

E-mail address: ioannispapadiochos@gmail.com



	Baltic Dental and Maxillofacial Journal

June, 2021, Vol. 23, No. 2 CONTENTS REVIEW One abutment one time vs repeatable abutment disconnections in implants, restored with cemented / screw retained fixed partial dentures: Marginal bone level changes. A systematic review and meta-analysis Imantas Vatėnas, Tomas Linkevičius 35-40 SCIENTIFIC ARTICLES Orthodontic problems among string and wind instrument players Viktorija Masiulytė, Alvyda Žarovienė, Vilma Švalkauskienė 41-47 The effect of new acrylic full removable dentures on food taste Elvinas Juzikis, Justina Klimenko, Juozas Žilinskas, Eglė Ivanauskienė 48-50 CASE REPORTS Iatrogenic penetration of the mouth floor during mandibular molar extraction: A case of protracted bleeding in an emergency department and clinico-anatomical considerations Ioannis Papadiochos, Sofia Papadiochou, Andreas-Rafail 51-55 Peripheral ossifying fibroma: A case report Jakub Mokrysz, Zuzanna Nowak, Maciej Chęciński 56-60 © 2021 Stomatologija		Stomatologija 2021; 23 (2): 51-5 209 KB Iatrogenic penetration of the mouth floor during mandibular molar extraction: A case of protracted bleeding in an emergency department and clinico-anatomical considerations Ioannis Papadiochos¹, Sofia Papadiochou², Andreas-Rafail Jajimos³ Summary Iatrogenic perforation of the lingual cortical plate of the mandible is uncommon but it may result in injuries to various adjacent structures such as the lingual nerve, sublingual gland, submandibular duct, deep lobe of the submandibular gland, and branches of rich anastomosing plexus supplying the floor of the mouth (FOM). The aim of this article was to highlight an unusual case of protracted postoperative bleeding that was occurred due to a FOM injury during an attempt to extract a mandibular second molar. Various anatomical considerations with clinical relevance were summarized too. Even small and superficial injuries of FOM should be not misjudged but be carefully monitored, since there is a potential risk for significant haemorrhage and hematoma formation leading to airway obstruction. Key words: of mouth, extraction, sublingual hematoma, haemorrhage, mandibular molar. Received: 18 06 2018 Accepted for publishing: 28 06 2021 ¹“Attikon” University General Hospital of Athens, Haidari, Attiki, Greece ²Healthcare Center of Spata, Dental Department, Spata, Attiki, Greece ³“Evangelismos General Hospital of Athens, Dental Department, Athens, Attiki, Greece Address correspondence to Ioannis Papadiochos, “Attikon” University General Hospital of Athens, Rimini 1, 124 62, Chaidari, Attiki, Greece. E-mail address: ioannispapadiochos@gmail.com