Pseudoaneurysm of the Greater Palatine Vessel Following Subepithelial Connective Tissue Graft

Segal, Joshua; Patel, Mukesh R.; Woo, Henry H.; Pruitt, Rachel

doi:10.1563/aaid-joi-d-19-00178

Cited by 3 publications

(5 citation statements)

References 4 publications

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“…Patients on anticoagulant therapy may need to take a drug holiday prior to oral grafting surgery; a physician consult is required to dictate this action. Pseudoaneurysm of the greater palatine vessel following subepithelial connective tissue grafting has been described in a patient who did not discontinue anticoagulant therapy preoperatively 173 . Bleeding persisted for 6 days and was eventually managed by vessel embolization using cyanoacrylate glue 173 …”

Section: Postoperative Complicationsmentioning

confidence: 99%

“…Pseudoaneurysm of the greater palatine vessel following subepithelial connective tissue grafting has been described in a patient who did not discontinue anticoagulant therapy preoperatively 173 . Bleeding persisted for 6 days and was eventually managed by vessel embolization using cyanoacrylate glue 173 …”

Section: Postoperative Complicationsmentioning

confidence: 99%

“…173 Bleeding persisted for 6 days and was eventually managed by vessel embolization using cyanoacrylate glue. 173…”

Section: Prolonged Postoperative Bleedingmentioning

confidence: 99%

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Wound healing dynamics, morbidity, and complications of palatal soft‐tissue harvesting

Tavelli

Barootchi

Stefanini

et al. 2022

Periodontology 2000

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Palatal‐tissue harvesting is a routinely performed procedure in periodontal and peri‐implant plastic surgery. Over the years, several surgical approaches have been attempted with the aim of obtaining autogenous soft‐tissue grafts while minimizing patient morbidity, which is considered the most common drawback of palatal harvesting. At the same time, treatment errors during the procedure may increase not only postoperative discomfort or pain but also the risk of developing other complications, such as injury to the greater palatine artery, prolonged bleeding, wound/flap sloughing, necrosis, infection, and inadequate graft size or quality. This chapter described treatment errors and complications of palatal harvesting techniques, together with approaches for reducing patient morbidity and accelerating donor site wound healing. The role of biologic agents, photobiomodulation therapy, local and systemic factors, and genes implicated in palatal wound healing are also discussed.

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Section: Postoperative Complicationsmentioning

confidence: 99%

Section: Postoperative Complicationsmentioning

confidence: 99%

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Wound healing dynamics, morbidity, and complications of palatal soft‐tissue harvesting

Tavelli

Barootchi

Stefanini

et al. 2022

Periodontology 2000

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“…It is also important to highlight that despite the possible occurrence of some adverse events related to the treatment with SCTG (i.e., development of cyst-like areas, root resorption, or bone exostosis), these were restricted to a very limited number of cases and cannot per se undermine the safety/success of autogenous grafts. The reduced base of literature suggests that periosteal trauma/fenestration is probably the primary main-causing agent linked with exostosis development in grafted sited by FGG [9,20,21,23,28] also a case with a previously unpublished complication following subepithelial gingival connective tissue graft from the palate as pseudoaneurysm of the greater palatine vessel was explored [27].…”

Section: том 20 № 3/2022mentioning

confidence: 99%

Early and late complications arising from autologous soft tissue augmentation in dental practice: systematic review

et al. 2022

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Aim. To consider and analyze early and late complications that occur during autologous soft tissue augmentation in dental practice, since knowledge of complications helps the doctor to choose the right approach and materials for the treatment of any disease.Materials and methods. The publications in the electronic databases PubMed , Google Scholar and other reliable resources, were studied during a systematic review of the literature. the author has selected articles whose content concerns the study of complications arising from autologous soft tissue augmentation in outpatient dental practice.Results. 71 articles we reviewed during the review. After analyzing the literature for inclusion criteria, the total number of publications has become 30.Conclusions. according to the studied literature, it can be assumed that the main complications arising from autologous soft tissue augmentation in dental practice include: bleeding, pain, swelling, increased sensitization, damage to nerve and/or vascular elements and flap necrosis.

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“…Palatine soft tissue is a limited resource, therefore requiring a careful decision where ASG is the most useful. Harvesting ASG prolongs the surgery and patients regularly show complications like pain, swelling, bleeding and infections at the donor site [2].…”

Section: Introductionmentioning

confidence: 99%

Biomechanical analysis of the human derived soft tissue graft Epiflex for use in oral soft tissue augmentation

Sagheb,

Noelken,

Schröger

et al. 2024

Int J Implant Dent

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Purpose This study aimed to investigate the biomechanical properties, cell migration, and revascularization of the acellular dermal matrix Epiflex. As a decellularized, freeze–dried human skin graft, Epiflex has broad applications in medical fields, particularly in implantology and dentistry. Understanding its biomechanical characteristics is crucial for its clinical adoption as a novel soft tissue graft option. Methods Epiflex (n = 3) was evaluated in comparison to palatal tissue from body donors (n = 3). Key metrics, such as elongation and tear resistance, were quantified. Both graft types underwent histological analysis and scanning electron microscopy. Additionally, the healing properties of Epiflex were assessed using a Chorioallantoic Membrane (CAM) Assay. Results Biomechanically, Epiflex (mean = 116.01 N) demonstrated the ability to withstand greater forces (p = 0.013) than human palatal tissue (mean = 12.58 N). When comparing the elongation, no significant difference was measured (ASG mean = 9.93 mm, EF mean = 9.7 mm). Histologically, Epiflex exhibited a loosely connected network of collagen fibers with a dense upper layer. The CAM Assay indicated efficient revascularization. Conclusion Epiflex appears to be a viable option for soft tissue augmentation, particularly appealing to patient groups who avoid all or specific animal-derived products due to ethical or religious reasons. Graphical Abstract

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Pseudoaneurysm of the Greater Palatine Vessel Following Subepithelial Connective Tissue Graft

Cited by 3 publications

References 4 publications

Wound healing dynamics, morbidity, and complications of palatal soft‐tissue harvesting

Wound healing dynamics, morbidity, and complications of palatal soft‐tissue harvesting

Early and late complications arising from autologous soft tissue augmentation in dental practice: systematic review

Biomechanical analysis of the human derived soft tissue graft Epiflex for use in oral soft tissue augmentation

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