뇌성마비환자의 전신마취 하 치과치료 후 혀 깨물기 손상 관리
THE MANAGEMENT OF TONGUE BITE IN A PATIENT OF CEREBRAL PALSY AFTER DENTAL TREATMENT UNDER GENERAL ANESTHESIA -CASE REPORTT-
신터전, 서광석, 김현정, 박성수, 김혜정, 양소영,
소속 상세정보
신터전 ( Shin Teo-Jeon ) - 서울대학교 치의학대학원 치과마취과학교실
서광석 ( Seo Kwang-Suk ) - 서울대학교 치의학대학원 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치의학대학원 치과마취과학교실
박성수 ( Park Sung-Soo ) - 서울대학교 치과대학 구강악안면외과학교실
김혜정 ( Kim Hye-Jung ) - 서울특별시립장애인치과병원
양소영 ( Yang So-Young ) - 서울특별시립장애인치과병원
KMID : 1144020100060020116
Abstract
Trauma to the lips and tongue can occur by accidental self-biting after dental treatment. After local anesthesia, it is likely that the patient may feel painless even in biting the tongue. In case of young children and disabled patients, the dentists should be careful not to bite the tongue. In this report, we present a case of deep lingual laceration due to biting the tongue in the course of dental treatment under general anesthesia. A 33 year-old male was transferred to our hospital to treat tongue laceration. Before 2 hour on arrival, he had received dental care under general anesthesia at a dental hospital for the disabled because of cooperation difficulty and cerebral palsy. During recovery from general anesthesia, he tried to bite his own tongue involuntary. The doctors and nurses tried to prevent the patient from being injured. Despite these efforts, massive bleeding occurred from the injured sites of the tongue. Because we could not communicate with him, we decided to evaluate the extent of the injury and treat the injured sites under general anesthesia. The laceration wound was sutured for nearly 1 hr general anesthesia. During recovery we inserted mouth prop into the oral cavity to prevent further injuries from tongue biting. After full recovery from general anesthesia he didn’t try to bite his tongue. After 4 hour admission, he was discharged without other complications.
키워드
Tongue bite; Dental treatment; General Anesthesia; Cooperation difficulty; Cerebral Palsy; Complications
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