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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

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Published on: October 20, 2017

Third molar extraction with massive hemorrhage treated by embolization.

Salma Benazzou¹, François Cheynet, Laurent Brignol

¹Department of Oral and Maxillofacial Surgery, Timone University Medical Center, Marseilles, France. drmaxillofacial@hotmail.com

The Journal of Craniofacial Surgery

|March 24, 2009

Summary

A common tooth extraction led to severe bleeding, requiring emergency angiography and embolization. This case highlights a rare but serious complication of third molar removal.

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Area of Science:

Oral and Maxillofacial Surgery
Vascular Surgery

Background:

Third molar impaction is a frequent condition encountered in oral and maxillofacial surgery.
Surgical extraction of impacted third molars is a routine procedure with generally favorable outcomes.

Observation:

A patient experienced significant post-operative bleeding following a left upper third molar extraction.
The bleeding was severe enough to warrant immediate intervention.

Findings:

The case presented a rare complication of post-extraction hemorrhage.
Angiography was performed to diagnose the source of bleeding.
Embolization was successfully employed to control the hemorrhage.

Implications:

This case underscores the importance of preparedness for managing uncommon bleeding complications after third molar surgery.
Vascular intervention techniques like angiography and embolization are critical in managing severe post-operative bleeding.
Awareness of potential severe hemorrhage is crucial for oral surgeons and their teams.