1/21. tongue piercing resulting in hypotensive collapse.tongue piercing remains popular. A variety of complications have been reported, including life-threatening infection, airway problems and damaged teeth or mucosal surfaces. A patient who collapsed after continuous profuse bleeding following tongue piercing is presented. It is recommended that piercing practitioners be licensed and inspected. A list of written post piercing instructions for customers is included on how to deal with, or who to contact regarding potential complications including haemorrhage.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
2/21. quinine induced coagulopathy--a near fatal experience.A 67 year old man presented to his local dentist for restorative treatment. He stated he was fit and well and denied taking any medications. When he was given an inferior alveolar nerve block, excessive bleeding was noted at the injection site and the dentist advised the patient see an oral and maxillofacial surgeon. An appointment was made for the patient but he did not attend. Three days later, he presented with evidence of massive deep haemorrhage to the point of airway compromise. He underwent hospital admission, early intubation, intensive care for nine days and hospitalization for six weeks. The cause of his bleeding was a severe thrombocytopoaenia, induced by chronic ingestion of quinine. He was self-medicating with this to relieve muscular cramps. Despite this experience, the patient continued to deny that quinine was the cause of his problem and that he had failed in his obligations to advise the dentist of his drug history. dentists need to be alert to the risk that patients may not reveal their true medical history. There are, however, obligations on the dentist to ensure the accuracy of information the patient gives and to ensure that patients whom they believe are at risk follow their advice. Teamwork and skillful airway management prevented this patient's demise.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
3/21. Haematoma of the floor of the mouth following implant placement.Placement of implants in the anterior mandibular region is generally regarded as a routine, safe procedure. This case report describes an extensive haematoma in the floor of the mouth, following such a procedure, which rapidly became life-threatening, requiring an emergency tracheostomy to establish a surgical airway. The anatomic, radiographic and surgical aspects to the problem are discussed. Finally, when undertaking such procedures it is advisable to perform them reasonably close to a hospital where such a complication can be effectively and promptly handled by suitably trained persons.- - - - - - - - - - ranking = 0.0030029946441131keywords = haematoma (Clic here for more details about this article) |
4/21. Haemostatic management of intraoral bleeding in patients with congenital deficiency of alpha2-plasmin inhibitor or plasminogen activator inhibitor-1.Haemostatic management of intraoral bleeding was investigated in patients with congenital alpha2-plasmin inhibitor (alpha2-PI) deficiency or congenital plasminogen activator inhibitor- 1 (PAI-1) deficiency. When extracting teeth from patients with congenital alpha2-PI deficiency, we advocate that 7.5-10 mg kg(-1) of tranexamic acid be administered orally every 6 h, starting 3 h before surgery and continuing for about 7 days. For the treatment of continuous bleeding, such as post-extraction bleeding, 20 mg kg(-1) of tranexamic acid should be administered intravenously, and after achieving local haemostasis 7.5 mg kg(-1) of tranexamic acid should be administered orally every 6 h for several days. In addition, when treating haematoma caused by labial or gingival laceration or buccal or mandibular contusion, haemostasis should be achieved by administering 7.5-10 mg kg(-1) of tranexamic acid every 6 h. tranexamic acid can also be used for haemostatic management of intraoral bleeding in patients with congenital PAI-1 deficiency, but is less effective when compared with use in patients with congenital alpha2-PI deficiency. Continuous infusion of 1.5 mg kg(-1) h(-1) of tranexamic acid is necessary for impacted tooth extraction requiring gingival incision or removal of local bone.- - - - - - - - - - ranking = 0.0030029946441131keywords = haematoma (Clic here for more details about this article) |
5/21. An extraction complicated by lateral and medial pterygoid tethering of a fractured maxillary tuberosity.We report a case in which the extraction of an upper second molar was complicated by a maxillary tuberosity fracture. Delivery of the tooth and bone fragment under local anaesthesia was unable to be achieved because of pain, brisk bleeding and tethering by the lateral and medial pterygoid muscles. The eventual removal of the fragment under general anaesthetic required the control of haemorrhage deep within the infratemporal fossa. When this complication is recognised by the general dentist the maxillary tuberosity should not be removed and the patient referred to a specialist unit.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
6/21. vascular malformations of the tongue: MRI findings on three cases.vascular malformations are common lesions accounting for approximately 7% of all benign tumours, the majority of which develop in the head and neck region. Generally, vascular malformations such as lymphangiomas, haemangiomas, and arteriovenous communications in the head and the neck represent only an aesthetic problem. However, when localized in the tongue, these lesions can create clinical problems consisting, in the majority of cases, in spontaneous haemorrhage from the mouth. Although uncommon, progressive asymmetric growth of the tongue (macroglossia) can be also observed. Three consecutive cases of vascular malformations of the tongue have been studied with magnetic resonance imaging (MRI). Neither contrast medium administration nor angio-MR technique was used. In our experience, MR appears to be the ideal technique to define the site, extension and origin of vascular malformations, due to its ability to depict the typical signal flow voids in the lesions and to differentiate slow-flow lesions from high-flow ones.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
7/21. Floor of mouth haemorrhage and life-threatening airway obstruction during immediate implant placement in the anterior mandible.A majority of the procedures performed in the dental office setting are considered safe and minimally invasive. Despite this fact, as healthcare providers it is our responsibility to be able to anticipate, recognize and manage life-threatening emergencies that may occur. In the following report, the authors will describe a life-threatening complication that resulted from the placement of mandibular implants.- - - - - - - - - - ranking = 4keywords = haemorrhage (Clic here for more details about this article) |
8/21. factor xi deficiency disclosed following haemorrhage related to a dental extraction. Brief review and case report.factor xi deficiency is a relatively common hereditary coagulation disorder manifested generally as diffuse oozing from a surgical site. dentists may be the first to discover this deficiency and other coagulopathies after simple tooth extraction. A case is reported which illustrates a typical presentation of this disorder. The need for haematological examination and special dental care is discussed.- - - - - - - - - - ranking = 4keywords = haemorrhage (Clic here for more details about this article) |
9/21. Drug-induced post-surgical haemorrhage resulting from trimethoprim-sulphamethoxazole. A case report.A case of life-endangering post-operative haemorrhage due to thrombocytopenia resulting from administration of trimethoprim-sulphamethoxazole is described. Withdrawal of the drug led to complete recovery. This side effect should be kept in mind, especially in patients scheduled for surgical intervention. As thrombocytopenia may develop insidiously and gradually, it is highly recommended to perform full blood tests immediately prior to surgery and repeat them in the post-operative period.- - - - - - - - - - ranking = 5keywords = haemorrhage (Clic here for more details about this article) |
10/21. Utilization of therapeutic embolization in haemorrhage caused by carcinoma of the tongue.Selective transcatheter arterial embolization, using Gelfoam, was performed in 2 patients with bleeding from tongue arteries due to carcinoma. Though the patients were in poor general condition, being in the terminal stage of cancer, there were no complications and the bleeding was successfully controlled. This method was effective in controlling haemorrhage from the tongue due to carcinoma of the tongue.- - - - - - - - - - ranking = 5keywords = haemorrhage (Clic here for more details about this article) |
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