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Idiopathic spontaneous sublingual hematoma: a case report and literature review.
Marin, Eline; Fauconnier, Sigrid; Bauters, Wouter; Huvenne, Wouter.
Afiliación
  • Marin E; Department of Head And Neck Surgery, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium. Eline.Marin@ugent.be.
  • Fauconnier S; Department of Head And Neck Surgery, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
  • Bauters W; Department of Radiology, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
  • Huvenne W; Department of Head And Neck Surgery, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
Oral Maxillofac Surg ; 24(1): 117-120, 2020 Mar.
Article en En | MEDLINE | ID: mdl-31713696
PURPOSE: Sublingual hematoma is a rare complication seen in bleeding disorders, trauma, dental procedures, and the use of anticoagulants. Only a few publications have described idiopathic spontaneous sublingual hematoma, and all of them suspected severe hypertension as etiology. Our objective is to present a case of idiopathic spontaneous sublingual hematoma in a 48-year-old patient without any medical history of hypertension and to perform a literature review on this subject. METHODS: Case report presentation based on information extracted from the electronic patient database of Ghent University Hospital including a literature review of sublingual hematoma. RESULTS: This case report describes a 48-year-old male patient presenting with a spontaneous sublingual hematoma, which needed to be treated with an urgent tracheotomy. Drainage of the old hematoma followed 11 days later. He was not known with hypertension or any bleeding disorder. Clinical examination using fiberoptic nasolaryngoscopy, a CT scan, MRI scan, and biopsy of the sublingual salivary gland showed no focus for etiology. CONCLUSIONS: Clinical work-up is necessary to look for a cause of a spontaneous sublingual hematoma. Idiopathic spontaneous hematoma is only a rare entity. Aggressive airway management should be the first step in treatment. To date, there is no consensus about the management regarding the hematoma itself. Mostly, clinicians start with observation for spontaneous resolution of the hematoma and when possible to treat causative factors. Surgical drainage is performed when conservative treatment is not sufficient.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obstrucción de las Vías Aéreas / Suelo de la Boca Límite: Humans / Male / Middle aged Idioma: En Revista: Oral Maxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obstrucción de las Vías Aéreas / Suelo de la Boca Límite: Humans / Male / Middle aged Idioma: En Revista: Oral Maxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Alemania