Implant Surgery-Characterized by Extensive Ecchymosis: A Case Report
Implant Surgery-Characterized by Extensive Ecchymosis: A Case Report
İmplant cerrahisi sonrası hematom tahmin edilebilen bir durum olsada, geniş hematom vakaları ile rutin implant cerrahisinde çok fazla karşılaşılmamaktadır.Hematom genel olarak postoperatif evreyi uzatan ve iyileşme süresini zorlaştıran bir durumdur. Palpasyonda kaygan olmayan bir sertlik olup basınç uygulandığında ise ağrı ile karakterize olmaktadır.Kanın damar dışına çıkışı hemoraji olarak bilinmektedir.Kanama klinik olarak farklılık göstermekte olup, peteşi derideki noktasal kanama,3mm veya büyükse purpura,kanama odakları santimetrelere ulaşırsa ekimoz olarak adlandırılmaktadır.Ekimozda kanama alanlarının fagositozuyla ortaya çıkan hemoglobin kırmızı-mavi renge, daha sonra enzimatik yıkımıyla mavi-yeşil renge ve son olarak ta hemosiderine dönüşümüyle sarı-kahve renk gözlenir.Kanama doku içinde kitle yapıyorsa hematom olarak adlandırılmaktadır.Bu olgu sunumundada maksillaya dental rehabilitasyon amaçlı uygulanmış olan sekiz adet dental implant sonrası oluşan geniş hematom vakası sunulacaktır.
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