舌縮小術術後に呼吸管理が必要になったBeckwith-Wiedemann症候群患者の1例 A Beckwith-Wiedemann Syndrome Patient Who Needed Special Respiratory Care after Tongue Reduction

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著者

    • 濱田 正和 HAMADA MASAKAZU
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第二教室 Department of Oral and Maxillofacial SurgeryⅡ, Osaka University Graduate School of Dentistry
    • 清水 英孝 SHIMIZU HIDETAKA
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第二教室|大阪府済生会吹田病院歯科口腔外科 Department of Oral and Maxillofacial SurgeryⅡ, Osaka University Graduate School of Dentistry|Department of Oral and Maxillofacial Surgery, Saiseikai Suita Hospital
    • 鵜澤 成一 UZAWA NARIKAZU
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第二教室 Department of Oral and Maxillofacial SurgeryⅡ, Osaka University Graduate School of Dentistry

抄録

Beckwith-Wiedemann syndrome (BWS) is characterized by exomphalos, macroglossia, and gigantism. Macroglossia is observed in 97.5% of BWS cases. Here we report the case of a patient with BWS who needed respiratory management following tongue reduction. An 18-year-old man with macroglossia was referred to our department due to concerns of relapse after orthodontic treatment. He had a history of tongue reduction in infancy, and recurrent macroglossia was observed with growth. The patient underwent a tongue reduction following diagnosis of macroglossia. However, immediately after surgery, obstruction of the upper airway due to swelling of the tongue was noted and it was decided to re-intubate the patient. As swelling improved on the second day of surgery, extubation was performed and a nasal airway was inserted. The nasal airway was extubated on the third day of surgery. No particular respiratory problems were observed. Oral ingestion was initiated on the fourth day. In cases of tongue reduction, perioperative management is important considering the possibility of re-intubation for upper airway obstruction.

収録刊行物

  • 日本顎変形症学会雑誌

    日本顎変形症学会雑誌 29(3), 247-252, 2019

    特定非営利活動法人 日本顎変形症学会

各種コード

  • NII論文ID(NAID)
    130007745911
  • 本文言語コード
    JPN
  • ISSN
    0916-7048
  • データ提供元
    J-STAGE 
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