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Hypovolemic shock after labial and lingual frenulectomy: A report of two cases.

Abstract Lingual and labial frenulectomy are commonly performed as an outpatient procedure, either in an office setting or under general anesthesia. Frenulectomy is generally regarded by both otolaryngologists and dentists as a straightforward and low-risk procedure with limited evidence-based indications and similarly few contraindications. We describe two cases of hypovolemic shock occurring after outpatient frenulectomy requiring emergent interventions of cardiopulmonary resuscitation and blood transfusion. These rare, but life-threatening outcomes warrant recognition as potential complications for the presumed benign labial and lingual frenulectomy. We additionally briefly review indications for upper labial and lingual frenulectomy.
PMID
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Authors

Mayor MeshTerms
Keywords

Ankyloglossia

Frenulectomy

Frenulum

Journal Title international journal of pediatric otorhinolaryngology
Publication Year Start




PMID- 28802376
OWN - NLM
STAT- MEDLINE
DA  - 20170813
DCOM- 20170907
LR  - 20170907
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 100
DP  - 2017 Sep
TI  - Hypovolemic shock after labial and lingual frenulectomy: A report of two cases.
PG  - 223-224
LID - S0165-5876(17)30326-9 [pii]
LID - 10.1016/j.ijporl.2017.07.013 [doi]
AB  - Lingual and labial frenulectomy are commonly performed as an outpatient
      procedure, either in an office setting or under general anesthesia. Frenulectomy 
      is generally regarded by both otolaryngologists and dentists as a straightforward
      and low-risk procedure with limited evidence-based indications and similarly few 
      contraindications. We describe two cases of hypovolemic shock occurring after
      outpatient frenulectomy requiring emergent interventions of cardiopulmonary
      resuscitation and blood transfusion. These rare, but life-threatening outcomes
      warrant recognition as potential complications for the presumed benign labial and
      lingual frenulectomy. We additionally briefly review indications for upper labial
      and lingual frenulectomy.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Tracy, Lauren F
AU  - Tracy LF
AD  - University of North Carolina, Department of Otolaryngology/Head and Neck Surgery,
      101 Manning Drive, Chapel Hill, NC 27599, USA. Electronic address:
      [email protected]
FAU - Gomez, Gabriel
AU  - Gomez G
AD  - University of North Carolina, Department of Pediatric Otolaryngology, 101 Manning
      Drive, Chapel Hill, NC 27599, USA.
FAU - Overton, Lewis J
AU  - Overton LJ
AD  - University of North Carolina, Department of Otolaryngology/Head and Neck Surgery,
      101 Manning Drive, Chapel Hill, NC 27599, USA.
FAU - McClain, Wade G
AU  - McClain WG
AD  - University of North Carolina, Department of Pediatric Otolaryngology, 101 Manning
      Drive, Chapel Hill, NC 27599, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170714
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Ankyloglossia/*surgery
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Hypovolemia/*etiology
MH  - Infant
MH  - Lingual Frenum/*surgery
MH  - Male
MH  - Outpatients
MH  - Retrospective Studies
MH  - Shock/*etiology
MH  - Tongue/*surgery
OTO - NOTNLM
OT  - Ankyloglossia
OT  - Frenulectomy
OT  - Frenulum
EDAT- 2017/08/15 06:00
MHDA- 2017/09/08 06:00
CRDT- 2017/08/14 06:00
PHST- 2017/04/19 [received]
PHST- 2017/07/05 [revised]
PHST- 2017/07/12 [accepted]
AID - S0165-5876(17)30326-9 [pii]
AID - 10.1016/j.ijporl.2017.07.013 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2017 Sep;100:223-224. doi:
      10.1016/j.ijporl.2017.07.013. Epub 2017 Jul 14.