MANDİBULAR İNTERFORAMİNAL BÖLGEDE İMPLANT CERRAHİSİNDE KARŞILAŞILABİLECEK VASKÜLER KOMPLİKASYONLAR VE YÖNETİMİ

Mandibular interforaminal bölge, birçok ağız ,diş ve çene cerrahisi protokolünde özellikle de dental implant uygulamalarında tercih edilen bir alandır. Son yıllardaki vaka raporları, mandibular interforaminal bölgede birçok komplikasyonla karşılaşılabileceğini göstermektedir. Bunlardan en tehlikeli ve yaşamı tehdit edeni de üst solunum yolu obstrüksüyonuna kadar varabilen lingual arter yaralanmalarıdır. Tecrübeye bağlı olmaksızın karşılaşılabilecek bu komplikasyondan kaçınmak ancak mandibular interforaminal bölgenin vasküler anatomisine hakim olmak, işlem öncesi gerekli radyografik tetkik ve incelemeleri yapmış olmaktan geçmektedir. Hastayla ilgili yetersiz radyografik tetkik bulunması ya da anatomik varyasyon varlığı gibi durumlarda bu şekilde bir kanama komplikasyonuyla karşı karşıya kalındığındaysa, hekimin süreci ve komplikasyonu yönetebilecek bilgi ve donanımda olması gereklidir. Bu çalışmada mandibular interforaminal bölgesinin anatomik vasküler anatomisi, lingual foramenler ve bulunma sıklıklarıyla birlikte komplikasyondan kaçınma ve başa çıkma yöntemleriyle ilgili literatür özetlenmiştir. Böylece diş hekimlerinin bu ciddi komplikasyonla ilgili bilgilerini tazelemek amaçlanmaktadır.

Anahtar Kelimeler:

LİNGUAL ARTER, LİNGUAL FORAMİNA, İMPLANT

VASCULAR COMPLICATIONS THAT COULD OCCUR IN IMPLANT SURGERY IN THE MANDIBULAR INTERFORAMINAL REGION AND THEIR MANAGEMENT

The mandibular interforaminal region is a preferred area in many oral, dental and maxillofacial surgery protocols, especially in dental implant applications. Case reports in recent years show that many complications can be encountered in the mandibular interforaminal region. The most dangerous and life-threatening of these are lingual artery injuries that can reach up to upper airway obstruction. Avoiding this complication, which can be encountered regardless of experience, is only necessary to have a good knowledge of the vascular anatomy of the mandibular interforaminal region and to perform the necessary radiographic examinations before the procedure. When such a bleeding complication is encountered in cases such as insufficient radiographic examination of the patient or the presence of anatomical variation, the physician should be equipped with the knowledge and equipment to manage the process and the complication. In this study, the anatomical vascular anatomy of the mandibular interforaminal region, the lingual foramen and their frequency, together with the literature on complication avoidance and coping methods are summarized. Thus, it is aimed to refresh the knowledge of dentists about this serious complication.

Keywords:

LINGUAL ARTERY, LINGUAL FORAMINA, IMPLANT,

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