Doh Re-Mee, Yu Tae-Min, Park Wonse, Kim Seungoh
Department of Advanced General Dentistry, School of Dentistry, Dankook University, Cheonan, Korea.
Department of Advanced General Dentistry, School of Dentistry, Yonsei University, Seoul, Korea.
J Dent Anesth Pain Med. 2015 Sep;15(3):173-179. doi: 10.17245/jdapm.2015.15.3.173. Epub 2015 Sep 30.
Issues related to the control of seizures and bleeding, as well as behavioral management due to mental retardation, render dental treatment less accessible or impossible for patients with Sturge-Weber syndrome (SWS). A 41-year-old man with SWS visited a dental clinic for rehabilitation of missing dentition. A bilateral port-wine facial nevus and intraoral hemangiomatous swollen lesion of the left maxillary and mandibular gingivae, mucosa, and lips were noted. The patient exhibited extreme anxiety immediately after injection of a local anesthetic and required various dental treatments to be performed over multiple visits. Therefore, full-mouth rehabilitation over two visits with general anesthesia and two visits with target-controlled intravenous infusion of a sedative anesthesia were planned. Despite concerns regarding seizure control, bleeding control, and airway management, no specific complications occurred during the treatments, and the patient was satisfied with the results.
与癫痫发作和出血控制相关的问题，以及因智力迟钝导致的行为管理问题，使得患有斯-韦综合征（SWS）的患者难以或无法接受牙科治疗。一名41岁的SWS男性患者前往牙科诊所进行牙列缺失修复。检查发现患者双侧面部有葡萄酒色斑痣，左上颌和下颌牙龈、黏膜及唇部有口腔内血管瘤性肿胀病变。患者在注射局部麻醉剂后立即表现出极度焦虑，需要多次就诊才能完成各种牙科治疗。因此，计划分两次就诊进行全身麻醉下的全口修复，并分两次就诊进行靶控静脉输注镇静麻醉。尽管担心癫痫控制、出血控制和气道管理，但治疗期间未发生特定并发症，患者对治疗结果感到满意。
