Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Diagnosis and treatment of obstructive atelectasis after general anesthesia in a patient with abscess in the maxillofacial area: A case report

  • Um, Byung-Koo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Ku, Jeong-Kui (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Kim, Yong-Soo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University)
  • Received : 2018.07.18
  • Accepted : 2018.08.17
  • Published : 2018.08.31
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Abstract

The purpose of this study was to report and discuss the diagnosis and treatment of obstructive atelectasis secondary to pus obstruction in a patient who had developed a maxillofacial abscess, and to review the literature on similar cases. Persistently discharging pus within the oral cavity can act as an aspirate, and may lead to obstructive atelectasis. Additionally, maxillofacial surgery patients should be carefully assessed for the presence of risk factors of obstructive atelectasis, such as, epistaxis after nasotracheal intubation, oral bleeding, and mucus secretion. Furthermore, patients with these risk factors should be continuously followed up by monitoring $SPO_2$, breath sounds, and chest x-ray.

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References

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