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Case Series
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| Spontaneous sublingual hematoma: Surgical or non-surgical management? |
| Evgeni Brotfain1, Leonid Koyfman1, Schwartz Andrey1, Efim Rusabrov1, Amit Frenkel1, Alexander Zlotnik1, Moti Klein1 |
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1Intensive Care Unit, Division of Anesthesiology, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel.
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doi:10.5348/ijcri-2012-01-79-CS-1
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Address correspondence to: Brotfain Evgeni, MD Division of Anesthesiology, Soroka Medical Center Faculty of Health Sciences Ben-Gurion University of the Negev Israel Phone: +972546218106 Email: bem1975@gmail.com |
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| How to cite this article: |
| Evgeni B, Leonid K, Schwartz A, Efim R, Amit F, Alexander Z, Moti K. Spontaneous sublingual hematoma: Surgical or non-surgical management? International Journal of Case Reports and Images 2012;3(1):1-4. |
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Abstract
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Introduction:
Spontaneous sublingual hematoma (SSH) is an uncommon, but emergency state in oral cavity. A few series of SSH are seen in the literature. There is no available consensus about clinical strategy and management of such patients.
Case Series: The authors present two cases of spontaneous sublingual hematoma after anticoagulation therapy with sintrom (case 1) and warfarin (case 2). The different clinical management was applied in each case (surgical and supportive treatment respectively). The surgical approach was complicated by septic state and multiple organ failure which led to patient's death. Conclusion: The main priority of physician's strategy is based on airway protection. Otherwise, there are some different clinical points of view about management SSH (correction of anticoagulation state with blood products\vitamin K or aggressive surgical drainage). Based on previously reported series and our clinical experience (case 2) we consider that surgical intervention has a lot of complications and unsafe for the patients. The non-operative plan of treatment is more benefit and optimal. | |
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Key Words:
Spontaneous sublingual hematoma, Anticoagulation, Difficult airway management
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Author Contributions:
Evgeni Brotfain - Substantial contributions to conception and design, acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Leonid Koyfman - Substantial contributions to conception and design, acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Schwartz Andrey - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Efim Rusabrov - Substantial contributions to conception and design, acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Amit Frenkel - Substantial contributions to conception and design, acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Alexander Zlotnik - Substantial contributions to conception and design, acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Moti Klein - Substantial contributions to conception and design, acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© Evgeni Brotfain et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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