Bilateral Circumorbital Ecchymosis and Unilateral Subconjunctival Hemorrhage Following Surgical Removal of an Impacted Maxillary Canine: A Rare Case Report

Authors

  • Maraai Orafi Department of oral and maxillofacial surgery, faculty of dentistry, university of Benghazi Libya Author
  • Yousef S.Z. Salem Department of oral and maxillofacial surgery , Al-jalaa Trauma Hospital ,Benghazi,Libya Author
  • Safa T. Hammad Department of oral and maxillofacial surgery, Faculty of dentistry, university of Tripoli,Libya Author

DOI:

https://doi.org/10.54361/LJMR.20.2.56

Keywords:

: mpacted maxillary canine, circumorbital ecchymosis, subconjunctival hemorrhage, postoperative complication, oral surgery, case report

Abstract

Surgical extraction of impacted maxillary canines is considered a routine procedure in Oral and Maxillofacial Surgery. However, uncommon postoperative complications may occasionally occur even after atraumatic and properly executed surgery. This report presents a rare case of bilateral circumorbital ecchymosis associated with unilateral subconjunctival hemorrhage that developed 24 hours following surgical extraction of an impacted maxillary canine in a healthy 23-year-old patient. The procedure was performed atraumatically by an experienced oral and maxillofacial surgeon with more than 25 years of surgical experience. The surgical procedure was completed uneventfully within approximately 15 minutes, and no intraoperative complications or traumatic events were reported. Conservative management was adopted, and complete spontaneous resolution occurred without permanent sequelae. This case highlights the importance of recognizing rare postoperative vascular complications despite proper surgical technique and uneventful extraction.

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References

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Published

27-06-2026

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How to Cite

1.
Orafi M, Salem Y, Hammad S. Bilateral Circumorbital Ecchymosis and Unilateral Subconjunctival Hemorrhage Following Surgical Removal of an Impacted Maxillary Canine: A Rare Case Report. LJMR [Internet]. 2026 Jun. 27 [cited 2026 Jun. 27];20(2):280-5. Available from: https://ljmr.ly/index.php/ljmr/article/view/577

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