Article Data

  • Views 1699
  • Dowloads 136

Case Report

Open Access

Stab wound leading to sub lingual haematoma


1,The Royal London Hospital

DOI: 10.22514/SV92.112014.9 Vol.9,Issue 2,November 2014 pp.58-60

Published: 03 November 2014

*Corresponding Author(s): CRAIG MILLER E-mail:


We report a case of a sublingual haematoma and proptosis of the right eye as a result of penetrative injury to the suprazy-gomatic supratemporal fossa. The case was seen in the accident and emergency department at the Royal London Hospital (RLH). The case was referred to the anaesthetic and oral and maxillofacial unit, following neurosurgery and ophthalmology assessments.

The case highlights the need for a multi disciplinary approach to dealing with penetrative wounds in the craniofacial region. It is essential that all healthcare professionals have excellent working knowledge of the anatomy of the orbit and its asso-ciation with anatomical planes in the head and neck. (1) When diagnosing orbital compartment syndrome (also known as retrobulbar haemorrhage), radiographic findings should always be correlated to clinical signs and symptoms. Management of such a condition should be tailored to the individual. In this case medical management alone of 80mg of dexamethasone and 500mg of Mannitol was appropriate to enable a full recovery.


haematoma, airway obstruction, preoperative procedure, retrobulbar haemorrhage, floor of mouth

Cite and Share

CRAIG MILLER,MATHEW KEENAN,HELEN DREWERY,NAYEEM ALI. Stab wound leading to sub lingual haematoma. Signa Vitae. 2014. 9(2);58-60.


1. Lima V, Burt B, Leibovitch I, Prabhakaran V, Goldberg RA, Selva D. Orbital compartment syndrome: the ophthalmic surgical emergency. Surv Opthalmol 2009;54:441-9.

2. Natrella M, Duc L, Lunardi G, Cristoferi M, Fanelli G, Meloni T. Treatment of a transorbital penetrating injury: a particular endovascular approach. Interv Neuroradiol 2012;18:191-4.

3. Cashman E, Shandilya M, Amin M, Hughes J, Walsh M. Warferin- enduced sublingual hematoma mimicking Ludwig angina: conservative management of a potential life-threatening condition. Ear nose throat j 2011;90:E1.

4. Allen M, Perry M, Burns F. When is a retorbulbar haemorrhage not a retrobulbar heamorrhage? International J of Oral and Max fax surg 2010;39:1045-9.

5. Brucoli M, Arcuri F, Giarda M, Benech R, Benech A. Surgical management of posttraumatic intraorbital hematoma. J Craniofac Surg 2012;23:58-61.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time