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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 341 - 345 (5page)
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Bilateral sagittal split ramus osteotomy (BSSRO) is generally indicated for mandibular setback, to improve occlusion, masticatory function, and aesthetics by altering the mandibular position. However, BSSRO narrows the pharyngeal airway and increases airway resistance, resulting in postoperative respiratory disturbances during emergence from anesthesia. Oxygen delivery system via high-flow nasal cannula (HFNC) has been known to improve airway patency and oxygenation via low-level positive pressure as well as reduce the respiratory load. We report a case of postoperative respiratory disturbance, following a large mandibular setback, despite nasotracheal extubation in the fully awake patient. Respiratory disturbance was successfully controlled after oxygen delivery via HFNC until self-respiration was completely restored. Therefore, the use of HFNC may facilitate the control of postoperative respiratory disturbances induced by anatomical changes in upper airway after BSSRO surgery.
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등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Yajima Y / 2017 / Computational fluid dynamics study of the pharyngeal airway space before and after mandibular setback surgery in patients with mandibular prognathism / Int J Oral Maxillofac Surg 46:839~844
Riley RW / 1987 / Obstructive sleep apnea syndrome following surgery for mandibular prognathism / J Oral Maxillofac Surg 45:450~452
Keshishyan S / 2018 / Bronchoscopic management of central airway obstruction secondary to rheumatoid arthritis / J Bronchology Interv Pulmonol 25:e9~e11
Nishimura M / 2016 / High-flow nasal cannula oxygen therapy in adults: physiological benefits, indication, clinical benefits, and adverse effects / Respir care 61:529~541
Mattos CT / 2011 / Effects of orthognathic surgery on oropharyngeal airway: a metaanalysis / Int J Oral Maxillofac Surg 40:1347~1356
Riley RW / 1987 / Obstructive sleep apnea syndrome following surgery for mandibular prognathism / J Oral Maxillofac Surg 45:450~452
Keshishyan S / 2018 / Bronchoscopic management of central airway obstruction secondary to rheumatoid arthritis / J Bronchology Interv Pulmonol 25:e9~e11
Nishimura M / 2016 / High-flow nasal cannula oxygen therapy in adults: physiological benefits, indication, clinical benefits, and adverse effects / Respir care 61:529~541
Mattos CT / 2011 / Effects of orthognathic surgery on oropharyngeal airway: a metaanalysis / Int J Oral Maxillofac Surg 40:1347~1356
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