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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