- Any surgical intervention can be followed by bleeding.
- Management consists of revision of the suture and compression dressings.
- In case of damaged vessels coagulate/stitch vessels. Keep in mind that damage of sublingual arteries can be a fatal complication!
- Consider antibiosis to prevent infection of hematoma.
Wound dehiscence/adaptation, insufficient suturing, patient unrest or non-compliance, damaged vessel, anticoagulant medication
Compression of the wound for > 10 minutes, re- and additional suturing, modulate anticoagulant therapy, coagulate/stitch damaged vessel
Damage of sublingual arteries can lead to intense hemorrhage. Subsequent elevation of floor of the mouth can lead to (fatal) airway obstruction ! An early symptom of sublingual swelling may be a muffled speech. In such situation ensure free airways (intubation, tracheotomy), revise surgery area with coagulation/closure of sublingual artery (this will be usually a maxillo-facial emergency surgery and imply general anesthesia).
Check if bleeding occurs, manage bleeding as mentioned above.
Consider antibiosis to prevent hematoma (super-)infection.