Lim K A
Department of Oral and Maxillofacial Surgery, National Dental Centre, Second Hospital Avenue, Singapore 168938.
Singapore Dent J. 2000 Dec;23(1 Suppl):38-41.
Laryngospasm in oral & maxillofacial surgery may occur due to irritants in the form of surgical debris washed towards the oropharynx. In the two cases reported, pulmonary oedema ensued after the laryngospasm was relieved. The mechanism and causative factors of this phenomena is explained and preventive measures discussed. As the surgical area of the Oral & Maxillofacial (OMF) surgeons are closely related to that of the anaesthetist, it is imperative that OMF surgeons understand and recognize this condition.
口腔颌面外科手术中,喉痉挛可能因手术碎屑等刺激物冲向口咽而发生。在报告的两例病例中,喉痉挛缓解后出现了肺水肿。本文解释了这种现象的机制和致病因素,并讨论了预防措施。由于口腔颌面外科医生的手术区域与麻醉医生的密切相关,口腔颌面外科医生了解和认识这种情况是至关重要的。