52141 - Facial or Mandibular Vessel Ligation

The need for ligation of the facial, mandibular, or lingual artery or vein (or both) arises when a patient suffers significant, uncontrolled bleeding from these vessels in the oral and maxillofacial region—often due to trauma, surgery, or vascular pathology—requiring surgical tying off under anesthesia with assistance in a hospital to prevent catastrophic blood loss or airway compromise. This procedure is indicated when bleeding from these specific vessels cannot be managed with less invasive techniques and is distinct from maxillary artery ligation, targeting vessels critical to facial, jaw, or tongue blood supply. It is essential in emergencies where rapid hemorrhage control is vital to save life or stabilize the patient in the maxillofacial area.

Key scenarios driving this need include:

• Facial trauma: A deep laceration from a fall or assault might sever the facial artery, causing rapid external bleeding that requires ligation to halt.
• Mandibular injury: A fracture or surgical complication damaging the mandibular artery could lead to internal bleeding into the jaw space, necessitating vessel tying to prevent hematoma expansion.
• Lingual hemorrhage: A tongue injury or biopsy complication might rupture the lingual artery, risking airway obstruction from blood flow, urgent for ligation.
• Vascular pathology: An aneurysm or malformation in these vessels might bleed spontaneously, needing surgical control to avoid fatal outcomes.

For instance, a patient with a slashed cheek from a knife attack might require facial artery ligation to stop gushing blood, with the assistant aiding in vessel isolation amidst complex facial anatomy. In an aged care setting, an elderly patient with a lingual artery bleed post-dental procedure—worsened by frailty or blood thinners—could need this intervention to secure the airway and stabilize them. By ligating the affected vessel(s), this service stops hemorrhage, prevents complications like shock or asphyxiation, and allows further treatment, making it a critical tool for managing severe vascular emergencies in the maxillofacial region.

Surgeons ligating the patient’s facial, mandibular, or lingual artery or vein under anesthesia with assistance deliver essential benefits for vascular emergencies. A key advantage is controlling significant bleeding. This procedure stops the patient’s severe hemorrhage, preventing critical blood loss—essential for 'facial vessel ligation benefits.' It also protects the airway by managing bleeding in the oral region, ensuring the patient’s breathing remains unobstructed. Furthermore, it stabilizes the patient for recovery by addressing the vascular issue, supporting their healing process. For surgeons exploring 'vascular ligation advantages,' this assisted service ensures patients benefit from bleeding control, airway safety, and recovery stabilization, offering a precise solution for facial vessel emergencies.

Recovery of 2-4 weeks with swelling and circulation monitoring; hospital stay likely.