Precious D S, Skulsky F G
Department of Oral and Maxillofacial Surgery, Victoria General Hospital, Halifax, Nova Scotia.
Int J Oral Maxillofac Surg. 1990 Oct;19(5):279-82. doi: 10.1016/s0901-5027(05)80420-5.
Cardiac asystole, bradycardia and other dysrhythmias are complications associated with surgery of the craniofacial and maxillofacial structures. These dysrhythmias have been discussed frequently in ophthalmology but less attention has been paid to this problem in the maxillofacial surgery literature. Eight patients, 6 men and 2 women, who underwent maxillofacial surgery during a 16-month period at the Victoria General Hospital, Halifax, Canada demonstrated either asystole or bradycardia. This group of patients represents 1.6% of the total number of patients treated during the 16-month period. Six patients demonstrated either asystole or bradycardia during stretching of the soft tissues associated with advancement of the maxilla after bony mobilization. Two patients had either asystole or bradycardia during manipulation of the temporalis muscle fibres during surgery to correct total bony ankylosis of the temporomandibular joint. The etiology of this relatively rare but troublesome complication is discussed.
心搏停止、心动过缓和其他心律失常是颅面和颌面结构手术相关的并发症。这些心律失常在眼科中经常被讨论，但颌面外科文献中对这个问题的关注较少。在加拿大哈利法克斯维多利亚总医院为期16个月的时间里，8例接受颌面手术的患者（6名男性和2名女性）出现了心搏停止或心动过缓。这组患者占16个月期间接受治疗的患者总数的1.6%。6例患者在骨移动后上颌骨前移相关的软组织拉伸过程中出现心搏停止或心动过缓。2例患者在颞下颌关节完全骨性强直矫正手术中处理颞肌纤维时出现心搏停止或心动过缓。本文讨论了这种相对罕见但麻烦的并发症的病因。
