Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제39권6호
  • /
  • Pages.289-291
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  • 2013
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Wisdom teeth extraction in a patient with moyamoya disease

  • Seto, Mika (Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Fukuoka University) ;
  • Aoyagi, Naoko (Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Fukuoka University) ;
  • Koga, Sayo (Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Fukuoka University) ;
  • Kikuta, Toshihiro (Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Fukuoka University)
  • 투고 : 2013.09.17
  • 심사 : 2013.10.23
  • 발행 : 2013.12.31
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초록

Moyamoya disease is a rare neurovascular disorder that involves constriction of certain arteries in the brain. In patients with moyamoya disease, it is very important to prevent cerebral ischemic attacks and intracerebral bleeding caused by fluctuating blood pressure and increased respiration. A 40-year-old woman with moyamoya disease was scheduled for extraction of her right upper and lower impacted wisdom teeth. Her lower impacted wisdom tooth was situated close to the inferior alveolar nerve. We decided to continue her oral antiplatelet therapy and planned intravenous sedation with analgesic agents administered approximately five minutes prior to extraction of the root of the mandibular wisdom tooth. Oral analgesic medications were regularly administered postoperatively to alleviate pain and anxiety. During the perioperative period, no cerebrovascular event occurred, and the wisdom teeth were successfully extracted as per the planned procedure. It is thought that the perioperative risks of wisdom tooth extraction in patients with moyamoya disease can be minimized with the use of our protocols.

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참고문헌

  1. Scott RM, Smith ER. Moyamoya disease and moyamoya syndrome. N Engl J Med 2009;360:1226-37. https://doi.org/10.1056/NEJMra0804622
  2. Wakai K, Tamakoshi A, Ikezaki K, Fukui M, Kawamura T, Aoki R, et al. Epidemiological features of moyamoya disease in Japan: findings from a nationwide survey. Clin Neurol Neurosurg 1997;99(Suppl 2):S1-5. https://doi.org/10.1016/S0303-8467(97)00031-0
  3. Iwama T, Hashimoto N, Yonekawa Y. The relevance of hemodynamic factors to perioperative ischemic complications in childhood moyamoya disease. Neurosurgery 1996;38:1120-5.
  4. Kawaguchi T, Fujita S, Hosoda K, Shose Y, Hamano S, Iwakura M, et al. Multiple burr-hole operation for adult moyamoya disease. J Neurosurg 1996;84:468-76. https://doi.org/10.3171/jns.1996.84.3.0468
  5. Masaoka Y, Onaka Y, Shimizu Y, Sakurai S, Homma I. State anxiety dependent on perspiration during mental stress and deep inspiration. J Physiol Sci 2007;57:121-6. https://doi.org/10.2170/physiolsci.RP000607
  6. Homma S. The effects of stress in response to mirror drawing test trials on the electrogastrogram, heart rate and respiratory rate of human subjects. J Smooth Muscle Res 2005;41:221-33. https://doi.org/10.1540/jsmr.41.221
  7. Liu J, Singh H, White PF. Electroencephalogram bispectral analysis predicts the depth of midazolam-induced sedation. Anesthesiology 1996;84:64-9. https://doi.org/10.1097/00000542-199601000-00007
  8. Liu J, Singh H, White PF. Electroencephalographic bispectral index correlates with intraoperative recall and depth of propofol-induced sedation. Anesth Analg 1997;84:185-9.