下顎枝矢状分割法術後,窒息に陥った血管性浮腫の1例  [in Japanese] A Case of Angioedema Choking after Sagittal Split Ramus Osteotomy  [in Japanese]

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Author(s)

    • 駒谷 徹 KOMATANI TORU
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University
    • 中尾 一祐 NAKAO KAZUMASA
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University
    • 浅井 啓太 ASAI KEITA
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University
    • 高橋 克 TAKAHASHI KATSU
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University
    • 別所 和久 BESSHO KAZUHISA
    • 京都大学大学院医学研究科感覚運動系外科学講座口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University

Abstract

In this paper, we report a patient who developed angioedema of the face and pharynx after sagittal split ramus osteotomy, leading to suffocation.<br>The patient was a 29-year-old female. To treat mandibular retrusion, sagittal split ramus osteotomy and maxillomandibular fixation were performed under general anesthesia. The duration of surgery was 2 hours and 30 minutes, and the volume of blood loss was 50g. Swelling of the face and pharynx was observed from 2 hours after surgery, and the SpO<sub>2</sub> reduced, resulting in the loss of consciousness. The maxillomandibular fixation was released, and the airway was maintained using a nasal airway. After improvement of consciousness and vital signs, ICU management was performed. With respect to postoperative edema, IgE and C1 inhibitor tests were conducted, considering the possibility of allergy or hereditary angioedema. Negative reactions were observed, suggesting idiopathic or physical stimulus-related angioedema.

Journal

  • The Japanese Journal of Jaw Deformities

    The Japanese Journal of Jaw Deformities 27(3), 190-195, 2017

    THE JAPANESE SOCIETY FOR JAW DEFORMITIES

Codes

  • NII Article ID (NAID)
    130006077665
  • Text Lang
    JPN
  • ISSN
    0916-7048
  • Data Source
    J-STAGE 
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