Case report: Traumatic lingual hematoma

We describe a case of traumatic lingual hematoma in a patient on dual antiplatelet therapy. After securing the airway, bilateral lingual artery embolization successfully halted expanding hematoma formation. Patient subsequently required tracheostomy for continued airway edema. Although patient cours...

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Main Authors: B. Massey, K. Juhasz, J. Licata, S. Schell, G. English
Format: Article
Language:English
Published: Elsevier 2019-04-01
Series:Trauma Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644019300111
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author B. Massey
K. Juhasz
J. Licata
S. Schell
G. English
author_facet B. Massey
K. Juhasz
J. Licata
S. Schell
G. English
author_sort B. Massey
collection DOAJ
description We describe a case of traumatic lingual hematoma in a patient on dual antiplatelet therapy. After securing the airway, bilateral lingual artery embolization successfully halted expanding hematoma formation. Patient subsequently required tracheostomy for continued airway edema. Although patient course was wrought with postoperative complications, we review this case to illustrate how prompt hematoma evacuation and embolization can resolve significant vasovagal bradycardia and hypotension secondary to expansile lingual hematoma. Keywords: Lingual artery, Tongue, Antiplatelet, Lingual hematoma, Embolization
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spelling doaj.art-664865c479db4de98610b2f694378fe32022-12-22T03:19:01ZengElsevierTrauma Case Reports2352-64402019-04-0120Case report: Traumatic lingual hematomaB. Massey0K. Juhasz1J. Licata2S. Schell3G. English4University of Pittsburgh Medical Center, Hamot, Erie, PA, United States of America; Ear Nose & Throat Specialists of Northwestern Pennsylvania, Erie, PA, United States of AmericaUniversity of Pittsburgh Medical Center, Hamot, Erie, PA, United States of America; Corresponding author at: UPMC Hamot GME, 201 State Street, Erie, PA 16550, United States of America.Western University of Health Sciences-COMP NW, United States of AmericaEar Nose & Throat Specialists of Northwestern Pennsylvania, Erie, PA, United States of AmericaUniversity of Pittsburgh Medical Center, Hamot, Erie, PA, United States of AmericaWe describe a case of traumatic lingual hematoma in a patient on dual antiplatelet therapy. After securing the airway, bilateral lingual artery embolization successfully halted expanding hematoma formation. Patient subsequently required tracheostomy for continued airway edema. Although patient course was wrought with postoperative complications, we review this case to illustrate how prompt hematoma evacuation and embolization can resolve significant vasovagal bradycardia and hypotension secondary to expansile lingual hematoma. Keywords: Lingual artery, Tongue, Antiplatelet, Lingual hematoma, Embolizationhttp://www.sciencedirect.com/science/article/pii/S2352644019300111
spellingShingle B. Massey
K. Juhasz
J. Licata
S. Schell
G. English
Case report: Traumatic lingual hematoma
Trauma Case Reports
title Case report: Traumatic lingual hematoma
title_full Case report: Traumatic lingual hematoma
title_fullStr Case report: Traumatic lingual hematoma
title_full_unstemmed Case report: Traumatic lingual hematoma
title_short Case report: Traumatic lingual hematoma
title_sort case report traumatic lingual hematoma
url http://www.sciencedirect.com/science/article/pii/S2352644019300111
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