개구 장애가 심한 소아환자에서 전신마취 하 치과치료를 위한 기도관리
Dental Treatment of Pediatric Patients with Mouth Opening Limitation under General Anesthesia
한효조, 서광석, 김현정, 신터전, 권영선,
소속 상세정보
한효조 ( Han Hyo-Jo ) - 서울대학교 치과대학 치과마취과학교실
서광석 ( Seo Kwang-Suk ) - 서울대학교 치과대학 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치과대학 치과마취과학교실
신터전 ( Shin Teo-Jeon ) - 서울대학교 치과대학 치과마취과학교실
권영선 ( Kweon Young-sun ) - 서울대학교 치과대학 소아치과학교실
KMID : 0980220110110020172
Abstract
For dental treatment of children with severe dental phobia, sedation or general anesthesia is usually selected for enhancement of cooperation. But in the case of mouth opening limitation due to temporomandibular disorders, general anesthesia administration is a challenge for anesthesiologist. Because airway management failure was concerned, awake fibroscopic intubation is selected first. But, skillful fibroscopic intubation is not easy in case of uncooprative children patients. In this report, we present two cases of pediatric patients with mouth opening limitation. In the first case, the patient was 52 months old and the maximum opening distance was 1.2 cm, and in the second case the patient was 38 months old and the maximum opening distance was 1.5 cm. Both patients showed severe dental phobia. After sevoflurane inhalation without any intravenous drug, we successfully performed intubation using a fibroscope.
키워드
Pediatric Patient; Mouth opening limitation; General anesthesia; Airway management; Dental Treatment
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