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Int J Pediatr Otorhinolaryngol. 2017 Sep;100:223-224. doi: 10.1016/j.ijporl.2017.07.013. Epub 2017 Jul 14.

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

Author information

1
University of North Carolina, Department of Otolaryngology/Head and Neck Surgery, 101 Manning Drive, Chapel Hill, NC 27599, USA. Electronic address: LFTracy@Harvard.mgh.edu.
2
University of North Carolina, Department of Pediatric Otolaryngology, 101 Manning Drive, Chapel Hill, NC 27599, USA.
3
University of North Carolina, Department of Otolaryngology/Head and Neck Surgery, 101 Manning Drive, Chapel Hill, NC 27599, USA.

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.

KEYWORDS:

Ankyloglossia; Frenulectomy; Frenulum

PMID:
28802376
DOI:
10.1016/j.ijporl.2017.07.013
[Indexed for MEDLINE]

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