上下顎への骨延長器設置術後に生じた急性上気道狭窄 : Goldenhar 症候群に起因する Hemifacial microsomia の1例 Acute upper airway constriction occurring after bimaxillary distraction : A case of hemifacial microsomia due to Goldenhar syndrome

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著者

    • 佐藤 春樹 SATO Haruki
    • 愛知学院大学歯学部口腔外科学第二講座 Department of Oral and Maxillofacial Surgery-II, Aichi-Gakuin University, School of Dentistry
    • 宮地 斉 MIYACHI Hitoshi
    • 愛知学院大学歯学部口腔外科学第二講座 Department of Oral and Maxillofacial Surgery-II, Aichi-Gakuin University, School of Dentistry
    • 落合 栄樹 [他] OCHIAI Shigeki
    • 愛知学院大学歯学部口腔外科学第二講座 Department of Oral and Maxillofacial Surgery-II, Aichi-Gakuin University, School of Dentistry
    • 大林 修文 OBAYASHI Naofumi
    • 愛知学院大学歯学部口腔外科学第二講座 Department of Oral and Maxillofacial Surgery-II, Aichi-Gakuin University, School of Dentistry
    • 下郷 和雄 SHIMOZATO Kazuo
    • 愛知学院大学歯学部口腔外科学第二講座 Department of Oral and Maxillofacial Surgery-II, Aichi-Gakuin University, School of Dentistry

抄録

Acute upper airway constriction is the most critical of all respiratory disorders and its treatment demands prompt action. Acute upper airway constriction due to complications such as hemorrhage, pharyngeal edema, and upper airway narrowing can occur after maxillofacial surgery. We describe a case of acute upper airway constriction that occurred after bimaxillary distraction. The patient was a 12-year-old girl with hemifacial microsomia due to Goldenhar syndrome. The right mandibular body at the distal region of the first molar and maxillary alveolus underwent complete osteotomy. Intraoral-type distraction devices were set in place. There were no complications during surgery; however she complained of dyspnea and had signs of acute upper airway constriction, such as disturbed sleep and severe swelling from the submandibular to the cervical region, on the first postoperative day. X-ray CT scans showed obvious edema in the submandibular space and parapharyngeal space of the oropharynx. Emergency nasal airway intubation was performed, and a drainage route was placed at the site of mandibular osteotomy. Intravenous steroids were given. After drainage of the hematoma, her respiratory condition improved immediately, and X-ray CT scans showed decreased upper airway constriction the next day. We emphasized that postoperative evaluation of the airway and respiratory management have an important role in maxillofacial surgery.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 51(8), 386-389, 2005-08-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018954702
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    7459802
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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