Implant Surgery-Characterized by Extensive Ecchymosis: A Case Report

Year 2020, Volume: 3 Issue: 2, 31 - 35, 01.04.2020

Musa Sadikhov Özlem Gerginok , Sevil Kahraman

Abstract

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.

Keywords

implant cerrahisi komplikasyonları, hemoraji, ekimoz

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