Key result
Anticoagulant therapy was associated with spontaneous haemorrhage into the floor of the mouth, causing respiratory embarrassment that necessitated a tracheostomy.
Why the study?
Spontaneous haemorrhage into the floor of the mouth causing respiratory embarrassment in patients on anticoagulants requires understanding of its genesis and management.
Case Report (n=1)
Anticoagulant therapy can rarely cause spontaneous haemorrhage into the floor of the mouth, leading to life-threatening airway compromise requiring multidisciplinary management.
A case is presented of spontaneous haemorrhage into the floor of the mouth occurring in a patient receiving anticoagulants. Spread of interstitial haematoma to the submucosal tissues of the pharynx and larynx caused respiratory embarrassment necessitating a tracheostomy. The genesis and management of such a problem are discussed, and it can be appreciated that close co-operation between the otolaryngologist, haematologist and anaesthetist is essential.
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Gooder et al. (1980) conducted a case report in Spontaneous haemorrhage into the floor of the mouth (n=1). Anticoagulant therapy was evaluated on Spontaneous haemorrhage and respiratory embarrassment. Anticoagulant therapy was associated with spontaneous haemorrhage into the floor of the mouth, causing respiratory embarrassment that necessitated a tracheostomy.
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