Life-Threatening Hemorrhage from the Lingual Artery after a Genioplasty—Case Report and Review of Possible Complications Associated with Orthognathic Surgeries

Life-threatening hemorrhage after orthognathic surgery is rare. However, when it occurs, immediate diagnosis of the source of bleeding is imperative for successful management. The current report is the first to describe a rare life-threatening bleed from the left lingual artery following a genioplas...

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Main Authors: Nikoletta Vargas, Dasha Donado, José S. Sifuentes-Cervantes, Jaime Castro-Núñez, Lidia M. Guerrero, Luis Ferrer-Nuin
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Oral
Subjects:
Online Access:https://www.mdpi.com/2673-6373/3/1/9
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author Nikoletta Vargas
Dasha Donado
José S. Sifuentes-Cervantes
Jaime Castro-Núñez
Lidia M. Guerrero
Luis Ferrer-Nuin
author_facet Nikoletta Vargas
Dasha Donado
José S. Sifuentes-Cervantes
Jaime Castro-Núñez
Lidia M. Guerrero
Luis Ferrer-Nuin
author_sort Nikoletta Vargas
collection DOAJ
description Life-threatening hemorrhage after orthognathic surgery is rare. However, when it occurs, immediate diagnosis of the source of bleeding is imperative for successful management. The current report is the first to describe a rare life-threatening bleed from the left lingual artery following a genioplasty in a young healthy patient. Such occurrence also emphasizes the diverse anatomical course of the lingual artery and focuses on raising awareness about its numerous variations, sites of origin. Surgeons are often unaware of the anatomic variations of the lingual artery and its relation to the surrounding structures, which often lead to unexpected hemorrhages. Moreover, depending on severity, they can become challenging to manage and may lead to life-threatening complications. Taking into consideration the variations and the classification of the anatomical course of the lingual artery will improve surgical outcome, reduce morbidity, and lead to appropriate healing and recovery. This previously unpublished case regarding complications of lingual artery hemorrhage after genioplasty can bring awareness for future surgical considerations.
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spelling doaj.art-289ad2f902074fbe9bf1f972e1b819bf2023-11-17T13:07:55ZengMDPI AGOral2673-63732023-02-01319210010.3390/oral3010009Life-Threatening Hemorrhage from the Lingual Artery after a Genioplasty—Case Report and Review of Possible Complications Associated with Orthognathic SurgeriesNikoletta Vargas0Dasha Donado1José S. Sifuentes-Cervantes2Jaime Castro-Núñez3Lidia M. Guerrero4Luis Ferrer-Nuin5Oral and Maxillofacial Surgery Residency Program, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00921, USAOral and Maxillofacial Surgery Residency Program, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00921, USAOral and Maxillofacial Surgery Residency Program, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00921, USAOral and Maxillofacial Surgery Residency Program, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00921, USAOral and Maxillofacial Surgery Residency Program, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00921, USAOral and Maxillofacial Surgery Residency Program, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00921, USALife-threatening hemorrhage after orthognathic surgery is rare. However, when it occurs, immediate diagnosis of the source of bleeding is imperative for successful management. The current report is the first to describe a rare life-threatening bleed from the left lingual artery following a genioplasty in a young healthy patient. Such occurrence also emphasizes the diverse anatomical course of the lingual artery and focuses on raising awareness about its numerous variations, sites of origin. Surgeons are often unaware of the anatomic variations of the lingual artery and its relation to the surrounding structures, which often lead to unexpected hemorrhages. Moreover, depending on severity, they can become challenging to manage and may lead to life-threatening complications. Taking into consideration the variations and the classification of the anatomical course of the lingual artery will improve surgical outcome, reduce morbidity, and lead to appropriate healing and recovery. This previously unpublished case regarding complications of lingual artery hemorrhage after genioplasty can bring awareness for future surgical considerations.https://www.mdpi.com/2673-6373/3/1/9postoperative hemorrhagegenioplastyorthognathic surgerylingual artery
spellingShingle Nikoletta Vargas
Dasha Donado
José S. Sifuentes-Cervantes
Jaime Castro-Núñez
Lidia M. Guerrero
Luis Ferrer-Nuin
Life-Threatening Hemorrhage from the Lingual Artery after a Genioplasty—Case Report and Review of Possible Complications Associated with Orthognathic Surgeries
Oral
postoperative hemorrhage
genioplasty
orthognathic surgery
lingual artery
title Life-Threatening Hemorrhage from the Lingual Artery after a Genioplasty—Case Report and Review of Possible Complications Associated with Orthognathic Surgeries
title_full Life-Threatening Hemorrhage from the Lingual Artery after a Genioplasty—Case Report and Review of Possible Complications Associated with Orthognathic Surgeries
title_fullStr Life-Threatening Hemorrhage from the Lingual Artery after a Genioplasty—Case Report and Review of Possible Complications Associated with Orthognathic Surgeries
title_full_unstemmed Life-Threatening Hemorrhage from the Lingual Artery after a Genioplasty—Case Report and Review of Possible Complications Associated with Orthognathic Surgeries
title_short Life-Threatening Hemorrhage from the Lingual Artery after a Genioplasty—Case Report and Review of Possible Complications Associated with Orthognathic Surgeries
title_sort life threatening hemorrhage from the lingual artery after a genioplasty case report and review of possible complications associated with orthognathic surgeries
topic postoperative hemorrhage
genioplasty
orthognathic surgery
lingual artery
url https://www.mdpi.com/2673-6373/3/1/9
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