We describe what we believe is the first reported case of a sublingual hematoma secondary to severe hypertension. The patient, a 77-year-old woman, experienced a spontaneous hematoma of the floor of the mouth, tongue, and sublingual space that eventually caused an airway obstruction. We performed an emergency tracheostomy under local anesthesia and then evacuated the hematoma through an incision along the floor of the mouth. The patient recovered uneventfully.
References
1.
CohenA.F., WarmanS.P.Upper airway obstruction secondary to warfarin-induced sublingual hematoma. Arch Otolaryngol Head Neck Surg1989; 115: 718–20.
2.
HingN.R., BowlerM.D., BythP.L., DalyC.G.Lingual haematoma leading to upper airway obstruction. Br J Oral Maxillofac Surg1985; 23: 322–5.
